WALLINGFORD SMILEMAKERS LLC (NPI# 1265838379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265838379 |
| Entity Type | Organization |
| Organization Name | WALLINGFORD SMILEMAKERS LLC |
| Practice Address |
1 Chester Rd Wallingford PA 19086-6601 |
| Practice Telephone | 6108745700 |
| Practice Fax Number | 6108725348 |
| Mailing Telephone | 6108745700 |
| Mailing Fax Number | 6108725348 |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2015-11-18 |
| Authorized Official Name | DR. RONALD MICHAEL HAYES (OWNER/DENTIST) |
| Authorized Official Telephone | 6108745700 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DS028517L | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE PCAN | 7370300001 | 01 |
| Street Address |
1 CHESTER RD |
| City | WALLINGFORD |
| State | PA |
| Zip Code | 19086-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477610418 | Ronald Michael Hayes | Dentist | 1 Chester Rd, Wallingford, PA 19086-6601 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780168997 | Cara Grace Termini | Speech-Language Pathologist | 315 Prichard Ln, Wallingford, PA 19086 | 2018-09-24 |
| 1235633637 | Katharina Stephanie Shaw | Student in an Organized Health Care Education/Training Program | 100 Blackthorn Rd, Wallingford, PA 19086 | 2018-03-20 |
| 1750790382 | Debra Thompson | Psychologist | 715 Scott Lane, Wallingford, PA 19086 | 2014-08-07 |
| 1265853709 | Tamar V Jefferis | Internal Medicine | 19 N. Providence Road, Box 267, Wallingford, PA 19086 | 2013-12-31 |
| 1396052460 | Sabina Sharmeen | Internal Medicine | 1161, Putnam Boulovard, Wallingford, PA 19086 | 2010-09-09 |
| 1790922789 | Carol Lecleire | Dentist | 9 Dale Lane, Wallingford, PA 19086 | 2009-01-13 |
| 1104885995 | Wallingford-swarthmore Sd | Speech-Language Pathologist | 200 South Providence Rd, Wallingford, PA 19086-3817 | 2006-03-21 |
| 1700841780 | Wallingford Swarthmore Sd | Clinic/Center | 200 South Providence Rd, Wallingford, PA 19086-3817 | 2006-04-20 |
| 1477890317 | Alison S. Neuhaus | Lactation Consultant, Non-RN | 305 Dogwood Ln, Wallingford, PA 19086-6007 | 2013-01-11 |
| 1881648095 | Amir Katz | Physical Medicine & Rehabilitation | 303 Plush Mill Rd, Wallingford, PA 19086-6022 | 2006-05-20 |
| Find all providers in zip 19086 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808084 | Advanced Dental of Wallingford LLC | Clinic/Center | 44 Fair St, Wallingford, CT 06492-4214 | 2020-10-12 |
| 1902063951 | Visiting Nurse Association of Wallingford Inc | Clinic/Center | 135 N Plains Industrial Rd, Wallingford, CT 06492-2332 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306278 | Maria B Mezzanotte Dds LLC | Clinic/Center | 3409 Wilmington Rd, New Castle, PA 16105-3209 | 2020-11-04 |
| 1952901704 | Prime Dental Associates, LLC | Clinic/Center | 101 Old York Rd Ste 401, Jenkintown, PA 19046-3912 | 2020-10-30 |
| 1194324897 | Jignesh Rudani Dmd PC | Clinic/Center | 3400 Bath Pike Ste 200, Bethlehem, PA 18017-2484 | 2020-10-22 |
| 1710585815 | Tpg Dmd, LLC | Clinic/Center | Grande Plaza 1103 Rocky Dr, Suite 205, West Lawn, PA 19609 | 2020-10-12 |
| 1427665751 | Chandan Dental Associates | Clinic/Center | 3242 S Main Street, Sandy Lake, PA 16145 | 2020-09-30 |
| 1578175733 | Columbia Dental LLC | Clinic/Center | 846 Lancaster Ave, Columbia, PA 17512-2206 | 2020-08-19 |
| 1043820749 | David B. Killian, Dmd, PC | Clinic/Center | 305 S. Hanover Street, Carlisle, PA 17013 | 2020-08-06 |
| 1427667336 | Indiju 4 Dental LLC | Clinic/Center | 4240 Oregeon Pk., Ephrata, PA 17522 | 2020-07-27 |
| 1902415276 | Ragland Orthodontics | Clinic/Center | 800 Edgewood Rd Ste 1, York, PA 17402-4379 | 2020-07-23 |
| 1356950604 | Jamison Innovative Dentistry PC | Clinic/Center | 2370 Old York Rd Ste D1, Jamison, PA 18929-1031 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | WALLINGFORD |
| Zip Code | 19086 |
Please comment or provide details below to improve the information on WALLINGFORD SMILEMAKERS 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.