SMILE KRAFTERS PEDIATRIC, LLC (NPI# 1215375365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215375365 |
| Entity Type | Organization |
| Organization Name | SMILE KRAFTERS PEDIATRIC, LLC |
| Practice Address |
1247 S Cedar Crest Blvd Allentown PA 18103-6298 |
| Practice Telephone | 6106281228 |
| Mailing Telephone | 6106281228 |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |
| Authorized Official Name | ANDREW DORMESHIAN (OWNER) |
| Authorized Official Telephone | 9178476976 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS036490 | PA | Dental Providers |
| Street Address |
1247 S CEDAR CREST BLVD |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881773364 | Stephen Charles Matchett | Internal Medicine | 1247 S Cedar Crest Blvd, Suite 106b, Allentown, PA 18103-6298 | 2006-11-03 |
| 1326668138 | Elizabeth V Lowe | Counselor | 1247 S Cedar Crest Blvd, Allentown, PA 18103-6298 | 2020-04-21 |
| 1891227674 | Diana Alyce Rivers | Student in an Organized Health Care Education/Training Program | 1247 S Cedar Crest Blvd, Allentown, PA 18103-6298 | 2017-03-30 |
| 1487192704 | Debra Bachmura | Psychologist | 1247 S Cedar Crest Blvd, Cics - Ste 100, Allentown, PA 18103-6298 | 2017-02-07 |
| 1366802647 | Lehigh Valley Hospital | Pharmacy | 1247 S Cedar Crest Blvd, Suite 105, Allentown, PA 18103-6298 | 2016-03-01 |
| 1548636798 | Terrill Long | Physical Therapist | 1247 S Cedar Crest Blvd, Allentown, PA 18103-6298 | 2015-08-11 |
| 1457733990 | Jessica Cuttic | Counselor | 1247 S Cedar Crest Blvd, Suite 100, Allentown, PA 18103-6298 | 2015-06-21 |
| 1487040887 | James Alan Clarke Jr. | Student in an Organized Health Care Education/Training Program | 1247 S Cedar Crest Blvd, Allentown, PA 18103-6298 | 2015-04-13 |
| 1447649850 | Advantage Dental, PC | Dentist | 1247 S Cedar Crest Blvd, Suite 300, Allentown, PA 18103-6298 | 2015-01-22 |
| 1053721662 | Sajjad Ahmad Ibrar | Internal Medicine | 1247 S Cedar Crest Blvd, Suite 202, Allentown, PA 18103-6298 | 2014-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| 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 |
|---|---|---|---|---|
| 1801381454 | Eugene J Mcguire Dds, PC | Dentist | 1575 Pond Rd Ste 105, Allentown, PA 18104-2254 | 2018-06-26 |
| 1699830059 | Hugh Joseph Odonnell Jr. | Dentist | 3057 College Heights Blvd, Allentown, PA 18104-4875 | 2006-12-26 |
| 1770659542 | Marsha Adler Gordon | Dentist | 1525 Hausman Rd, Allentown, PA 18104-9258 | 2006-11-25 |
| 1952388076 | Timothy Lane Kent | Dentist | 504 Parkside Ct, Allentown, PA 18104-4681 | 2005-12-29 |
| 1083603161 | Eugene James Mcguire | Dentist | 1575 Pond Rd, Suite 105, Allentown, PA 18104-2254 | 2005-10-20 |
| 1093145872 | Pmak Children's Dental, LLC | Dentist | 1517 Pond Rd, Suite 201, Allentown, PA 18104-2253 | 2013-11-15 |
| 1972883288 | Matt Harrison Boswell | Dentist | 3057 College Heights Blvd, Allentown, PA 18104-4875 | 2011-08-18 |
| 1790070209 | Wanda J. Janik | Dentist | 1525 Hausman Rd, Allentown, PA 18104-9258 | 2011-06-13 |
| 1780977546 | Phillip Knight Brinton | Dentist | 1517 Pond Rd, Allentown, PA 18104-2253 | 2011-05-26 |
| 1912206970 | Little Smiles, P.C. | Dentist | 1247 S Cedar Crest Blvd, Suite 300, Allentown, PA 18103-6298 | 2011-03-16 |
| Find all providers in ALLENTOWN | ||||
Please comment or provide details below to improve the information on SMILE KRAFTERS PEDIATRIC, 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.