SMILE FOR LIFE PC
NPI 1902459902
Dentist - General Practice in Philadelphia, PA

Q: What is Smile For Life PC's NPI number?

The NPI number for Smile For Life PC is 1902459902. It was assigned to this organization in the NPPES registry on July 18, 2019.

Q: What is Smile For Life PC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Smile For Life PC was last updated on August 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 18, 2019

9173 ROOSEVELT BLVD SPC 22, PHILADELPHIA, PA 19114(215) 515-4797 Get Directions Write a Review

NPPES record last updated: August 7, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 7, 2019, Jul 18, 2019 (2 updates tracked since 2019).

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About Smile For Life Pc NPPES

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

SMILE FOR LIFE PC (NPI 1902459902) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since July 2019. The organization lists Nino Taboridze, Manager, as its authorized official.

NPPES Registry Identity

NPI1902459902

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSMILE FOR LIFE PC

Location Address9173 ROOSEVELT BLVD SPC 22Philadelphia, PA 19114-2204

Mailing Address9173 Roosevelt Blvd Spc 22Philadelphia, PA 19114-2204 · (215) 515-4797

Phone(215) 515-4797

Organization SubpartNo

Authorized OfficialNino TaboridzeManager · (215) 552-9800

Enumeration DateJuly 18, 2019

Last NPPES UpdateAugust 7, 20192 updates tracked since enumeration

✔ NPI 1902459902 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.

9173 ROOSEVELT BLVD SPC 22, Philadelphia, PA 19114

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 For Life PC's NPI number?

The NPI number for Smile For Life PC is 1902459902. It was assigned to this organization in the NPPES registry on July 18, 2019.

Where is Smile For Life PC located?

Smile For Life PC is located at 9173 Roosevelt Blvd Spc 22, Philadelphia, PA 19114. The listed phone number is (215) 515-4797.

What is Smile For Life PC'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 For Life PC was last updated on August 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.