| Smile Maker | |
|
1775 Street Rd Southampton PA 18966-4564 | |
| (215) 834-0678 | |
| (215) 969-2014 |
| Full Name | Smile Maker |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1775 Street Rd, Southampton, Pennsylvania |
| Authorized Official Name and Position | Dmitry Karagodsky (OWNER) |
| Authorized Official Contact | 2158340678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Maker 1775 Street Rd Southampton PA 18966-4564 Ph: (215) 834-0678 | Smile Maker 1775 Street Rd Southampton PA 18966-4564 Ph: (215) 834-0678 |
| NPI Number | 1154049047 |
|---|---|
| Provider Enumeration Date | 08/17/2022 |
| Last Update Date | 08/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154049047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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