SMILE EXCHANGE OF MALVERN, LLC


Address: 5 S. Morehall Rd, Suite 700b, Malvern, PA 19355
Phone: 4843022700

SMILE EXCHANGE OF MALVERN, LLC (NPI# 1285169243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285169243
Entity Type Organization
Organization Name SMILE EXCHANGE OF MALVERN, LLC
Practice Address 5 S. Morehall Rd
Suite 700b
Malvern
PA 19355
Practice Telephone 4843022700
Practice Fax Number 6102962300
Mailing Telephone 4843022700
Mailing Fax Number 6102962300
Enumeration Date 2017-04-27
Last Update Date 2017-04-27
Authorized Official Name DR. MICHAEL BUNDY BUNDY (MEDICAL DIRECTOR)
Authorized Official Telephone 85664225200
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Office Location

Street Address 5 S. MOREHALL RD
SUITE 700B
City MALVERN
State PA
Zip Code 19355

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1487081808 Ronia Arabatlian Social Worker 1 North Bacton Rd, 107, Malvern, PA 19355 2013-09-30
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City MALVERN
Zip Code 19355

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Dataset Information

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.

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