Smile Squad Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SMILE SQUAD INC

Practice address

355 W Main St
Leola, PA 17540-2107

Phone

(717) 884-8807

NPI assigned

Jul 3, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Anvarali Mohammadh, DMD

Title

Partner

Phone

(717) 884-8807

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1972349512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BAYBREEZE LN",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218119404",
            "telephone_number": "410-382-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W MAIN ST",
            "city": "LEOLA",
            "state": "PA",
            "postal_code": "175402107",
            "telephone_number": "717-884-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "MOHAMMADH",
        "authorized_official_first_name": "ANVARALI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "717-884-8807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750693024",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679986194",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard H. Niemeyer (leola family health center)
• Alyssa Roberts, MA, NCC
• Joel L Samitt, DO
• Michelle Sheaffer, LPC
• Simply Nutrition LLC
• Lisa Smith, DOT, OTR
• Jean Snyder, LPC
• Alison M Stanley, M.D.
• Steffys Garage Inc. (SGI Mobility)
• Julia Marie Stern, PTA

• Pediatric Dentistry in Leola, PA
• Providers in Leola, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.