Provider Demographics
NPI:1356929327
Name:SAPPHIRE FAMILY SMILES PC
Entity type:Organization
Organization Name:SAPPHIRE FAMILY SMILES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONAK
Authorized Official - Middle Name:
Authorized Official - Last Name:BELANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-865-6465
Mailing Address - Street 1:1431 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-2504
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1431 CENTER ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-2504
Practice Address - Country:US
Practice Address - Phone:610-865-6465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental