Provider Demographics
NPI:1154678381
Name:F&S SMILES, LLC
Entity Type:Organization
Organization Name:F&S SMILES, LLC
Other - Org Name:F&S ORTHODONTICS AND PERIODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD MS
Authorized Official - Phone:717-634-2461
Mailing Address - Street 1:141 WILSON AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-1453
Mailing Address - Country:US
Mailing Address - Phone:717-634-2461
Mailing Address - Fax:717-634-2584
Practice Address - Street 1:141 WILSON AVE
Practice Address - Street 2:SUITE E
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1453
Practice Address - Country:US
Practice Address - Phone:717-634-2461
Practice Address - Fax:717-634-2584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1223P0300X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty