Smile Pennsylvania PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SMILE PENNSYLVANIA PLLC

Practice address

200 Barr Harbor Dr
Suite 400-4079
West Conshohocken, PA 19428-2977

Phone

(888) 833-8441

Fax

(888) 330-4331

NPI assigned

Aug 23, 2006

Last updated

Jun 18, 2008By 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

Dr. Margo Yellin Woll, DDSNPI 1073543476

Title

Dental Director

Phone

(888) 833-8441

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Margo Yellin Woll, DDS

  • Dentist
  • Farmington Hills, MI
  • NPI 1073543476
  Authorized official Same address or phone

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1942317532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250310",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483250310",
            "telephone_number": "888-833-8441",
            "fax_number": "888-330-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BARR HARBOR DR",
            "address_2": "SUITE 400-4079",
            "city": "WEST CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282977",
            "telephone_number": "888-833-8441",
            "fax_number": "888-330-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE PENNSYLVANIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "WOLL",
        "authorized_official_first_name": "MARGO",
        "authorized_official_middle_name": "YELLIN",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "888-833-8441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015239590001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neal Raymond Niznan, LCSW
• Thomas Francis O'Brien, PH.D., AND ED.D.
• Peter C. Kleponis, P.C.
• Rajesh Ramaswamy, M.D.
• Skyline Psychotherapy & Assessment Services, PLLC
• Kathleen Ulrich, CRNP
• Jennifer W Weeks, PH.D., LPC, CACD
• Wintergreen Imaging and Diagnostics, PC

• Dentist in West Conshohocken, PA
• Providers in West Conshohocken, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.