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SMILE LINE DENTAL
NPI 1609171388
Dentist - General Practice in Philadelphia, PA

Active since January 11, 2011
8115 RIDGE AVE, PHILADELPHIA, PA 19128(215) 487-2347(215) 487-1459 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Smile Line Dental NPPES

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

SMILE LINE DENTAL (NPI 1609171388) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since January 2011. The organization lists Sung Joo Jeong, Owner, as its authorized official.

NPPES Registry Identity

NPI1609171388
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSMILE LINE DENTAL
Location Address8115 RIDGE AVEPhiladelphia, PA 19128-2901
Mailing Address8115 Ridge AvePhiladelphia, PA 19128-2901 · (215) 487-2347 · Fax (215) 487-1459
Phone(215) 487-2347
Fax(215) 487-1459
Organization SubpartNo
Authorized OfficialSung Joo JeongOwner · (610) 828-1666
Enumeration DateJanuary 11, 2011
✔ NPI 1609171388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS-036185
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.
8115 RIDGE AVE, Philadelphia, PA 19128
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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

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

DR. DAEUK MOON
Dentist
8115 RIDGE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-2347

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 Line Dental's NPI number?

The NPI number for Smile Line Dental is 1609171388. It was assigned to this organization in the NPPES registry on January 11, 2011.

Where is Smile Line Dental located?

Smile Line Dental is located at 8115 Ridge Ave, Philadelphia, PA 19128. The listed phone number is (215) 487-2347.

What is Smile Line Dental'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 Line Dental was last updated on January 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.