Provider Demographics
NPI:1336612167
Name:DELAWARE SMILE CENTER- JOSEPH W PAPP DDS LLC
Entity Type:Organization
Organization Name:DELAWARE SMILE CENTER- JOSEPH W PAPP DDS LLC
Other - Org Name:DELAWARE SMILE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:WILLARD
Authorized Official - Last Name:PAPP
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-264-8327
Mailing Address - Street 1:1012 STATE ROUTE 521 STE 202
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-8003
Mailing Address - Country:US
Mailing Address - Phone:740-417-9565
Mailing Address - Fax:740-443-4624
Practice Address - Street 1:1012 STATE ROUTE 521 STE 202
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-8003
Practice Address - Country:US
Practice Address - Phone:740-417-9565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-04
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental