Signature Smile Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SIGNATURE SMILE DENTAL LLC

Practice address

1212 Veterans Hwy Ste A1
Bristol, PA 19007-2512

Phone

(215) 874-0407

NPI assigned

Nov 20, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hiralben Patel

Title

DDS

Phone

(215) 874-0407

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584835200000",
    "number": "1881163822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OXFORD DR",
            "city": "IVYLAND",
            "state": "PA",
            "postal_code": "189741241",
            "telephone_number": "213-984-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 VETERANS HWY STE A1",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190072512",
            "telephone_number": "215-874-0407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 E Glenside Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Glenside",
            "state": "PA",
            "postal_code": "190384618",
            "country_code": "US",
            "telephone_number": "215-623-9363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIGNATURE SMILE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2020-03-22",
        "certification_date": "2020-03-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HIRALBEN",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "215-874-0407"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Bristol, PA
• Providers in Bristol, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.