Organization Active NPI

Ideal Smile of Exton

  • Dentist
  • Exton, PA
National Provider Identifier
1942892377
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
IDEAL SMILE OF EXTON
Practice address
356 N Pottstown Pike Ste 100
Exton, PA 19341-2246
Phone
(718) 666-5789
NPI assigned
Feb 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Dr. Nane Baluyan, DDSNPI 1205241551
Title
Owner
Phone
(718) 666-5789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

356 N Pottstown Pike Ste 100
Exton, PA 19341-2246

Mailing address

1650 Meetinghouse Rd
Warminster, PA 18974-1034
Phone (171) 866-6578

National Provider Directory

National Provider Directory

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": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1942892377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 MEETINGHOUSE RD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189741034",
            "telephone_number": "171-866-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 N POTTSTOWN PIKE STE 100",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412246",
            "telephone_number": "718-666-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL SMILE OF EXTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "BALUYAN",
        "authorized_official_first_name": "NANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-666-5789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.