Provider Demographics
NPI:1528401619
Name:SMILEKRAFTERS DENTAL, LLC
Entity Type:Organization
Organization Name:SMILEKRAFTERS DENTAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NIRANJAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SAVANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-237-9227
Mailing Address - Street 1:401 COMMERCE DR STE 108
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-2724
Mailing Address - Country:US
Mailing Address - Phone:215-646-6188
Mailing Address - Fax:215-646-6369
Practice Address - Street 1:1247 S CEDAR CREST BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6298
Practice Address - Country:US
Practice Address - Phone:610-628-1228
Practice Address - Fax:610-432-2332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-09
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty