Organization Active NPI

Smile Arc Orthodontics & Pedodontics LLC

  • Dental Clinic/Center
  • Lancaster, PA
National Provider Identifier
1902344039
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS038234 Issued in PA
Legal business name
SMILE ARC ORTHODONTICS & PEDODONTICS LLC
Practice address
2211 Erin CT
Lancaster, PA 17601-1960
Phone
(904) 345-9413
NPI assigned
Feb 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Authorized official

Name
Dr. Ahmad Fawaz Charkas, DDS
Title
Owner
Phone
(904) 345-9413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DS038234 PA Primary

Addresses

Primary practice location

2211 Erin CT
Lancaster, PA 17601-1960

Mailing address

614 Petersburg Rd
Lancaster, PA 17601-8816
Phone (904) 345-9413

National Provider Directory

National Provider Directory

Locations

2211 Erin Ct
Lancaster, PA 17601
Phone (904) 345-9413

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1902344039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 PETERSBURG RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176018816",
            "telephone_number": "904-345-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 ERIN CT",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011960",
            "telephone_number": "904-345-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE ARC ORTHODONTICS & PEDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "CHARKAS",
        "authorized_official_first_name": "AHMAD FAWAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-345-9413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS038234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.