Provider Demographics
NPI:1164000956
Name:SMILES OF NORTH HILLS LLC
Entity Type:Organization
Organization Name:SMILES OF NORTH HILLS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:STOFKO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-443-5300
Mailing Address - Street 1:5351 WILLIAM FLYNN HWY
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-9651
Mailing Address - Country:US
Mailing Address - Phone:724-443-5300
Mailing Address - Fax:724-443-0215
Practice Address - Street 1:5351 WILLIAM FLYNN HWY
Practice Address - Street 2:
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044-9651
Practice Address - Country:US
Practice Address - Phone:724-443-5300
Practice Address - Fax:724-443-0215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-01
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty