Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SMILE CENTER ON ROOSEVELT LLC
NPI 1306756085
Dentist - General Practice in Philadelphia, PA

Active since September 08, 2026
6404 ROOSEVELT BLVD, PHILADELPHIA, PA 19149(215) 558-4205 Get Directions Write a Review

NPPES record added: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Smile Center On Roosevelt Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SMILE CENTER ON ROOSEVELT LLC (NPI 1306756085) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since September 2026. The organization lists Michael Belder, Owner, as its authorized official.

NPPES Registry Identity

NPI1306756085
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSMILE CENTER ON ROOSEVELT LLC
Location Address6404 ROOSEVELT BLVDPhiladelphia, PA 19149-2943
Mailing Address528 Street RdSouthampton, PA 18966-3747
Organization SubpartNo
Authorized OfficialMichael BelderOwner · (215) 558-4205
Enumeration DateSeptember 8, 2026
NPPES CertifiedSeptember 8, 2026
NPI 1306756085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
6404 ROOSEVELT BLVD, Philadelphia, PA 19149

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD, LOWER LEVEL
PHILADELPHIA, PA 19149
Community/Behavioral Health
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Chiropractor
6404 ROOSEVELT BLVD, SUITE 1C
PHILADELPHIA, PA 19149
Dentist (General Practice)
6404 ROOSEVELT BLVD, 2ND FLOOR
PHILADELPHIA, PA 19149
Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Dentist (Orthodontics and Dentofacial Orthopedics)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Smile Center On Roosevelt LLC's NPI number?

The NPI number for Smile Center On Roosevelt LLC is 1306756085. It was assigned to this organization in the NPPES registry on September 8, 2026.

Where is Smile Center On Roosevelt LLC located?

Smile Center On Roosevelt LLC is located at 6404 Roosevelt Blvd, Philadelphia, PA 19149. The listed phone number is (215) 558-4205.

What is Smile Center On Roosevelt LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Smile Center On Roosevelt LLC was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.