SMILE TEAM PC (NPI# 1215574355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215574355 |
| Entity Type | Organization |
| Organization Name | SMILE TEAM PC |
| Practice Address |
9301 Banes St Philadelphia PA 19115-4201 |
| Practice Telephone | 2157090001 |
| Practice Fax Number | 2157096002 |
| Mailing Telephone | 2157090001 |
| Mailing Fax Number | 2157096002 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |
| Authorized Official Name | DR. BANSI DOESCHER (OWNER) |
| Authorized Official Telephone | 2157090001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1035067790001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750888673 | Smile Team PC | Dentist | 1500 Jfk Blvd Ste 1906, Philadelphia, PA 19102-1714 | 2018-04-07 |
| Street Address |
9301 BANES ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19115-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| 1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
| 1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
| 1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
| 1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
| 1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
| 1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
| 1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
| Find all providers in zip 19115 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124642897 | Walnut Street Smiles PC | Clinic/Center | 1601 Walnut St Ste 1025, Philadelphia, PA 19102-2911 | 2020-05-29 |
| 1558913129 | Advanced Dentistry of Center City | Clinic/Center | 1601 Walnut St Ste 600, Philadelphia, PA 19102-2904 | 2019-07-12 |
| 1841852241 | Cil Institute Inc | Clinic/Center | 3508 Market St Ste 256, Philadelphia, PA 19104-3320 | 2019-07-05 |
| 1154982775 | K Dental LLC | Clinic/Center | 6214 Bustleton Avenue, Philadelphia, PA 19149 | 2019-06-25 |
| 1598221129 | Minard Duka Dmd PC | Clinic/Center | 9501 Hilspach St, Philadelphia, PA 19115-3918 | 2019-02-19 |
| 1851855993 | Advanced Dentistry of Philadelphia | Clinic/Center | 7501 Stenton Ave, Philadelphia, PA 19150-3710 | 2019-01-23 |
| 1811468929 | Old City Orthodontics LLC | Clinic/Center | 14 S 3rd Street, 1st Floor, Philadelphia, PA 19106 | 2018-12-16 |
| 1972074250 | Center One Dental Associates PC | Clinic/Center | 9880 Bustleton Ave Ste 213, Philadelphia, PA 19115-2143 | 2018-12-11 |
| 1972072908 | City Dental LLC | Clinic/Center | 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 | 2018-11-20 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19115 |
Please comment or provide details below to improve the information on SMILE TEAM PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.