| Smiles On Broadway | |
|
214 Broadway Hanover PA 17331-2501 | |
| (717) 637-2255 | |
| (717) 637-3553 |
| Full Name | Smiles On Broadway |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 214 Broadway, Hanover, Pennsylvania |
| Authorized Official Name and Position | David Allison Reese (PRESIDENT) |
| Authorized Official Contact | 7176372255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles On Broadway 214 Broadway Hanover PA 17331-2501 Ph: (717) 637-2255 | Smiles On Broadway 214 Broadway Hanover PA 17331-2501 Ph: (717) 637-2255 |
| NPI Number | 1609901180 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609901180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS022762L (Pennsylvania) | Primary |
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