Provider Demographics
NPI:1255133831
Name:SMILES OF WEST CHESTER, LLC
Entity type:Organization
Organization Name:SMILES OF WEST CHESTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELLA CROCE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-696-3446
Mailing Address - Street 1:14 WILMONT MEWS
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-3206
Mailing Address - Country:US
Mailing Address - Phone:610-696-3446
Mailing Address - Fax:
Practice Address - Street 1:14 WILMONT MEWS
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-3206
Practice Address - Country:US
Practice Address - Phone:610-696-3446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental