Signature Smile Dental Llc | |
1212 Veterans Hwy Ste A1 Bristol PA 19007-2512 | |
(215) 874-0407 | |
Not Available |
Full Name | Signature Smile Dental Llc |
---|---|
Speciality | Dentist |
Location | 1212 Veterans Hwy Ste A1, Bristol, Pennsylvania |
Authorized Official Name and Position | Hiralben Patel (DDS) |
Authorized Official Contact | 2158740407 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Signature Smile Dental Llc 1 Oxford Dr Ivyland PA 18974-1241 Ph: (213) 984-5712 | Signature Smile Dental Llc 1212 Veterans Hwy Ste A1 Bristol PA 19007-2512 Ph: (215) 874-0407 |
NPI Number | 1881163822 |
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Provider Enumeration Date | 11/20/2018 |
Last Update Date | 03/22/2020 |
Medicare PECOS PAC ID | 2466888011 |
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Medicare Enrollment ID | O20200130001853 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881163822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Provider Name | Hiralben Patel |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1790190742 PECOS PAC ID: 6002242658 Enrollment ID: I20200224002218 |
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