SEA OF SMILES 4 LLC (NPI# 1598309106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598309106 |
| Entity Type | Organization |
| Organization Name | SEA OF SMILES 4 LLC |
| Practice Address |
361 Highland Ave Ste 203 Jenkintown PA 19046-2632 |
| Mailing Address |
301 Oxford Valley Rd Ste 1801 Yardley PA 19067-7725 |
| Practice Telephone | 2673925878 |
| Practice Fax Number | 4123171568 |
| Mailing Telephone | 2673925878 |
| Mailing Fax Number | 4123171568 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |
| Authorized Official Name | RAJ PATEL (OWNER) |
| Authorized Official Telephone | 2152081768 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
361 HIGHLAND AVE STE 203 |
| City | JENKINTOWN |
| State | PA |
| Zip Code | 19046-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279061 | Yves Rose Josselin | In Home Supportive Care | 610 Old Yord Road, Suite 400, Jenkintown, PA 19046 | 2019-05-06 |
| 1942790498 | Elizabeth Collins Cook | Counselor | 501 Old York Rd Unit 4, Jenkintown, PA 19046 | 2018-05-10 |
| 1013407568 | Samuel Albert | Counselor | 501 York Rd Unit 4 Renew Family Services LLC, Jenkintown, PA 19046 | 2018-05-10 |
| 1275050841 | Khristina Tylo | Home Health Aide | 1653 The Fairway St, Jenkintown, PA 19046 | 2017-08-24 |
| 1073053898 | Jennifer Nicole Romania | Physician Assistant | 500 Old York Road, Suite 201, Jenkintown, PA 19046 | 2017-02-27 |
| 1790159648 | Crystina Kaylin Cave | Physician Assistant | Holy Redeemer Hospital, 1648 Huntingdon Pike, Huntingdon Valley, PA 19046 | 2015-11-16 |
| 1790112225 | Jerry H Herman | Obstetrics & Gynecology | 906 Frog Hollow Terrace, Rydal, PA 19046 | 2013-09-30 |
| 1861828774 | Christopher T Flood | Physical Therapist | 676 Old York Road, Jenkintown, PA 19046 | 2013-09-24 |
| 1013251420 | Ann K Lodovichetti | Physical Medicine & Rehabilitation | 1616 Hungtindon Pike, Meadowbrook, PA 19046 | 2012-11-26 |
| 1689941916 | Sandra H. Kosmin | Social Worker | 114 Forrest Avenue, Suite 2, Narberth, PA 19046 | 2011-12-01 |
| Find all providers in zip 19046 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841205663 | Dentistry for Children, Inc. | Dentist | 439 York Rd, Jenkintown, PA 19046-2736 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701594 | John Capparell & Connie Mallozzi | Dentist | 20 N Laurel St # 2-c, Hazleton, PA 18201-5948 | 2019-10-11 |
| 1215584503 | Bright Smiles Kids Dentistry | Dentist | 410 W Lancaster Ave Ste 106, Devon, PA 19333-1588 | 2019-08-21 |
| 1841846458 | Bensalem, Smiles Inc | Dentist | 2548 Street Rd, Bensalem, PA 19020-2644 | 2019-08-11 |
| 1154976991 | Advanced Pediatric Dentistry LLC | Dentist | 220 Cumberland Pkwy Ste 6&7, Mechanicsburg, PA 17055-5683 | 2019-08-08 |
| 1205495512 | Lanz Pediatric Dentistry, LLC | Dentist | 3402 Washington Rd Ste 205, Mc Murray, PA 15317-2964 | 2019-06-10 |
| 1982267084 | Farm Park Pediatric Dentistry | Dentist | 502 W Germantown Pike Ste 100, East Norriton, PA 19403-4232 | 2019-04-15 |
| 1053878892 | Alexis Gilliam | Dentist | 2820 Whiteford Rd, York, PA 17402-7620 | 2019-02-28 |
| 1346705050 | Happy Teeth Proffesionals, LLC | Dentist | 165 Levittown Pkwy Ste B, Levittown, PA 19055-2464 | 2019-02-06 |
| 1902373111 | Cavity Busters Doylestown LLC | Dentist | 708 N Shady Retreat Rd Ste 2, Doylestown, PA 18901-2503 | 2018-10-25 |
| 1467931790 | Sea of Smiles 3pllc | Dentist | 1501 Main St Ste 240, Warrington, PA 18976-3400 | 2018-08-08 |
| Find all providers with the same taxonomy | ||||
| City | JENKINTOWN |
| Zip Code | 19046 |
Please comment or provide details below to improve the information on SEA OF SMILES 4 LLC.
| 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.