ABSOLUTE SMILE INC (NPI# 1609314160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609314160 |
| Entity Type | Organization |
| Organization Name | ABSOLUTE SMILE INC |
| Other Organization Name | ABSOLUTE SMILE |
| Practice Address |
9733 Bustleton Ave Philadelphia PA 19115-3201 |
| Practice Telephone | 2157745050 |
| Practice Fax Number | 2154377874 |
| Mailing Telephone | 2157745050 |
| Mailing Fax Number | 2154377874 |
| Enumeration Date | 2017-02-05 |
| Last Update Date | 2017-02-05 |
| Authorized Official Name | ERIC FRIEDMAN (PRESIDENT) |
| Authorized Official Telephone | 2157745050 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS031226L | PA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Absolute Smile | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316389042 | Absolute Smile Inc | Dentist | 10100 Jamison Ave, 226, Philadelphia, PA 19116-3832 | 2013-07-23 |
| Street Address |
9733 BUSTLETON AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19115-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548289192 | Paul D Schwartz | Dentist | 9733 Bustleton Ave, Philadelphia, PA 19115-3201 | 2006-07-18 |
| 1851838585 | Kirill Vasilyev | Dentist | 9733 Bustleton Ave, Philadelphia, PA 19115-3201 | 2017-01-19 |
| 1316002009 | Anne W Tax | Psychologist | 9733 Bustleton Ave, Suite 2n, Philadelphia, PA 19115-3201 | 2006-12-25 |
| 1124197884 | Brandi Jo Stewart | Psychologist | 9733 Bustleton Ave, Philadelphia, PA 19115-3201 | 2006-11-07 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385581 | Samir Zahedpasha | Dentist | 1933 Delancey Pl, Philadelphia, PA 19103-6611 | 2020-10-29 |
| 1164040424 | Aledy Miguelina Moreta | Dentist | 1813 Vineyard St, Philadelphia, PA 19130-2122 | 2020-07-13 |
| 1033737473 | David Agia | Dentist | 1318 Franklin Mills Cir # 807, Philadelphia, PA 19154-3130 | 2020-07-13 |
| 1710504113 | Hanna Lee | Dentist | 1616 S Rosewood St, Philadelphia, PA 19145-1519 | 2020-07-01 |
| 1982221636 | Aldo Profka | Dentist | 8001 Roosevelt Blvd Ste 304, Philadelphia, PA 19152-3039 | 2020-06-29 |
| 1558985317 | Oxford Dental LLC | Dentist | 5233 Oxford Ave, Philadelphia, PA 19124-1803 | 2020-06-07 |
| 1487277935 | Issam Ghaben | Dentist | 4210 Sansom St, Philadelphia, PA 19104-3589 | 2020-05-19 |
| 1508490509 | Mount Airy Family Dental LLC | Dentist | 1600 Ivy Hill Rd, Philadelphia, PA 19150-1008 | 2020-02-27 |
| 1801436506 | Special Outreach Services, PC | Dentist | 2301 E Allegheny Ave Ste 202, Philadelphia, PA 19134-4427 | 2020-01-10 |
| 1720624547 | Philadelphia Mills Dental Center | Dentist | 1318 Franklin Mills Cir #807, Philadelphia, PA 19154 | 2019-11-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19115 |
Please comment or provide details below to improve the information on ABSOLUTE SMILE INC.
| 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.