PHILADELPHIA SMILE CETER LLC
NPI 1396585212
Dentist - General Practice in Philadelphia, PA

Active since May 29, 2024
11911 BUSTLETON AVE, PHILADELPHIA, PA 19116(215) 673-9050 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Philadelphia Smile Ceter Llc NPPES

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

PHILADELPHIA SMILE CETER LLC (NPI 1396585212) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since May 2024. The organization lists Kiril Sharkov, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1396585212
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePHILADELPHIA SMILE CETER LLC
Location Address11911 BUSTLETON AVEPhiladelphia, PA 19116-2541
Mailing Address1501 Old York RdAbington, PA 19001-1907 · (215) 558-4205 · Fax (215) 494-3603
Organization SubpartNo
Authorized OfficialKiril SharkovOffice Manager · (215) 391-5939
Enumeration DateMay 29, 2024
NPPES CertifiedMay 28, 2024
NPI 1396585212 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.
11911 BUSTLETON AVE, Philadelphia, PA 19116

Other Names 1

Other NamePhiladelphia Smile Center

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 4

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

Dentist (General Practice)
11911 BUSTLETON AVE
PHILADELPHIA, PA 19116
Dentist (General Practice)
11911 BUSTLETON AVE
PHILADELPHIA, PA 19116
Dentist (General Practice)
11911 BUSTLETON AVE
PHILADELPHIA, PA 19116
Dentist (General Practice)
11911 BUSTLETON AVE
PHILADELPHIA, PA 19116

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 Philadelphia Smile Ceter LLC's NPI number?

The NPI number for Philadelphia Smile Ceter LLC is 1396585212. It was assigned to this organization in the NPPES registry on May 29, 2024. The provider is also known as Philadelphia Smile Center.

Where is Philadelphia Smile Ceter LLC located?

Philadelphia Smile Ceter LLC is located at 11911 Bustleton Ave, Philadelphia, PA 19116. The listed phone number is (215) 673-9050.

What is Philadelphia Smile Ceter 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 Philadelphia Smile Ceter LLC was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.