Extraordinary Smiles | |
4955 Route 873 Schnecksville PA 18078-2268 | |
(610) 799-0600 | |
(610) 799-0602 |
Full Name | Extraordinary Smiles |
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Speciality | Dentist |
Location | 4955 Route 873, Schnecksville, Pennsylvania |
Authorized Official Name and Position | Charles E Harding (OWNER/PRESIDENT) |
Authorized Official Contact | 6107990600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Extraordinary Smiles Po Box 266 Schnecksville PA 18078-0266 Ph: (610) 799-0600 | Extraordinary Smiles 4955 Route 873 Schnecksville PA 18078-2268 Ph: (610) 799-0600 |
NPI Number | 1811308232 |
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Provider Enumeration Date | 05/20/2014 |
Last Update Date | 05/20/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811308232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DS023517L (Pennsylvania) | Primary |
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