My Smile for Life

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MY SMILE FOR LIFE

Practice address

9173 Roosevelt Blvd Ste 22
Philadelphia, PA 19114-2234

Phone

(215) 515-4797

NPI assigned

Jan 25, 2022

Last updated

Jan 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Viji Seetharamn, DDS

Title

Dentist/Owner

Phone

(732) 666-7415

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Viji Seetharaman, DDS

  • Dentist
  • Philadelphia, PA
  • NPI 1114280435
  NPD
• Yage Wu, DDS

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1811452428
  NPD

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1881346427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 KINGSLEY CT",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189402408",
            "telephone_number": "732-666-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9173 ROOSEVELT BLVD STE 22",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142234",
            "telephone_number": "215-515-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SMILE FOR LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "SEETHARAMN",
        "authorized_official_first_name": "VIJI",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "732-666-7415",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Moms House Home Care LLC
• My Pediaheart Care Partner Inc.
• My Pharmacy LLC (My Pharmacy)
• My Philadelphia Pharmacy Inc (Your Philly Pharmacy)
• My Philly Pharmacy Inc (Olde Philly Pharmacy - Fishtown)
• My Truly Blessed Homecare LLC
• My Wellbeing Acupuncture
• Myability
• Aleksandr Myachikov, CRNA
• Jack H Mydlo, MD

• Dental Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.