BRILLIANT SMILES DENTAL GROUP - HAVERTOWN (NPI# 1306220496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306220496 |
| Entity Type | Organization |
| Organization Name | BRILLIANT SMILES DENTAL GROUP - HAVERTOWN |
| Other Organization Name | ELEGANT SMILES |
| Practice Address |
301 W Chester Pike Suite 202 Havertown PA 19083-4530 |
| Practice Telephone | 6107899400 |
| Practice Fax Number | 6107892841 |
| Mailing Telephone | 6107899400 |
| Mailing Fax Number | 6107892841 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |
| Authorized Official Name | MICHELLE AITKEN (OWNER) |
| Authorized Official Telephone | 6107899400 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DS035966 | PA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Elegant Smiles | Doing Business As Name - Organization |
| Street Address |
301 W CHESTER PIKE SUITE 202 |
| City | HAVERTOWN |
| State | PA |
| Zip Code | 19083-4530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932101235 | Karl G Schwabe | Internal Medicine | 301 W Chester Pike, Ste 201, Havertown, PA 19083-4530 | 2005-06-01 |
| 1538573621 | Kamila Bome | Audiologist | 301 W Chester Pike, Suite 101, Havertown, PA 19083-4530 | 2014-06-17 |
| 1891049235 | Meg Lorraine Hall | Nurse Practitioner | 301 W Chester Pike, Suite 201, Havertown, PA 19083-4530 | 2012-11-07 |
| 1780933358 | Megan Marie Breslin | Nurse Practitioner | 301 W Chester Pike, Suite 201, Havertown, PA 19083-4530 | 2012-08-29 |
| 1275828253 | Sakthipriya Janarthanan | Internal Medicine | 301 W Chester Pike, Suite 201, Havertown, PA 19083-4530 | 2011-06-17 |
| 1376781328 | Sandra Honeycutt | Physician Assistant | 301 W Chester Pike, Suite 101, Havertown, PA 19083-4530 | 2009-01-29 |
| 1598920290 | Satyen Undavia | Specialist | 301 W Chester Pike, Suite 101, Havertown, PA 19083-4530 | 2008-07-22 |
| 1801067913 | Margaret M Connor | Audiologist | 301 W Chester Pike, Suite 101, Havertown, PA 19083-4530 | 2008-03-17 |
| 1003087123 | Rebecca Fuller Afroilan | Audiologist | 301 W Chester Pike, Suite 101, Havertown, PA 19083-4530 | 2008-03-17 |
| 1700904711 | Howard F Neilson | Dentist | 301 W Chester Pike, Suite 202, Havertown, PA 19083-4530 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1588216238 | Angela Wrolstad | Registered Nurse | 614 Darby Road, Havertown, PA 19083 | 2019-07-12 |
| 1639696214 | Osaru Anyumba | Case Manager/Care Coordinator | 311 Lansdowne Road, Havertown, PA 19083 | 2017-08-24 |
| 1346762739 | Luke Francis Mattson | Pharmacist | 60 West Hillcrest Avenue, Havertown, PA 19083 | 2017-07-07 |
| 1124558150 | Clare M Chakey | Counselor | 1631 Ridgeway Road, Haventown, PA 19083 | 2017-06-13 |
| 1205382553 | Silverware Home Care Service LLC | Residential Treatment Facility, Physical Disabilities | 2010 Wester Chester Pike, Suite 448, Havertown, PA 19083 | 2016-08-28 |
| 1275903486 | Megan Keeley Ramaika | Dietitian, Registered | 404 Fairmont Road, Havertown, PA 19083 | 2015-09-30 |
| 1972987246 | Katie Paugh | Occupational Therapist | One North Belfield Avenue, Havertown, PA 19083 | 2015-07-16 |
| 1497140180 | Total Health Home Care Corporation | Nurse's Aide | 2710 West Township Line Rd, Havertown, PA 19083 | 2015-03-31 |
| 1851704084 | Ul Sik Jason Chong | Pharmacist | 700 East Townshipline Road Ste Ll, Havertown, PA 19083 | 2014-06-05 |
| Find all providers in zip 19083 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730730029 | Adam Dai Dmd PC | Clinic/Center | 710 Darby Rd, Havertown, PA 19083-4606 | 2019-09-27 |
| 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 | ||||
Please comment or provide details below to improve the information on BRILLIANT SMILES DENTAL GROUP - HAVERTOWN.
| 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.