1023543089 NPI number — SMILE EXCHANGE OF TURNERSVILLE LLC

Table of content: (NPI 1023543089)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023543089 NPI number — SMILE EXCHANGE OF TURNERSVILLE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SMILE EXCHANGE OF TURNERSVILLE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023543089
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/27/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5 S. MOREHALL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MALVERN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19355
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
484-302-2700
Provider Business Mailing Address Fax Number:
610-296-2300

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
141 TUCKAHOE RD
Provider Second Line Business Practice Location Address:
SUITE 380
Provider Business Practice Location Address City Name:
SEWELL
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08080-3844
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-422-5200
Provider Business Practice Location Address Fax Number:
856-318-7435
Provider Enumeration Date:
04/27/2017

Additional Information

Authorized Official

Authorized Official Last Name:
BUNDY
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
85664225200

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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