FRIENDLY SMILE DENTAL INC (NPI# 1093298325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093298325 |
| Entity Type | Organization |
| Organization Name | FRIENDLY SMILE DENTAL INC |
| Practice Address |
7608 Castor Ave 1 St Floor Philadelphia PA 19152 |
| Mailing Address |
7608 Castor Ave Fl 1 Philadelphia PA 19152-4024 |
| Practice Telephone | 2157251608 |
| Mailing Telephone | 2157251608 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |
| Authorized Official Name | ANDREW MARINCHENKO (DMD) |
| Authorized Official Telephone | 2677528760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
7608 CASTOR AVE 1 ST FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| 1861865818 | Distinct Home Health Care, LLC. | Community/Behavioral Health | 8900 Maxwell Pl., Philadelphia, PA 19152 | 2015-11-12 |
| Find all providers in zip 19152 | ||||
| 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 |
| 1215574355 | Smile Team PC | Clinic/Center | 9301 Banes St, Philadelphia, PA 19115-4201 | 2019-12-09 |
| 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 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19152 |
Please comment or provide details below to improve the information on FRIENDLY SMILE DENTAL 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.