Provider Demographics
NPI:1023137882
Name:BUCKS COUNTY SMILES, INC
Entity type:Organization
Organization Name:BUCKS COUNTY SMILES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:HOPENWASSER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-493-4021
Mailing Address - Street 1:680 HEACOCK ROAD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067
Mailing Address - Country:US
Mailing Address - Phone:215-493-4021
Mailing Address - Fax:215-321-4621
Practice Address - Street 1:680 HEACOCK ROAD
Practice Address - Street 2:SUITE 102
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067
Practice Address - Country:US
Practice Address - Phone:215-493-4021
Practice Address - Fax:215-321-4621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026010L122300000X
PADS038422122300000X
PADS039912122300000X
PADS018988L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty