Provider Demographics
NPI:1649990888
Name:NURTURING SMILES
Entity type:Organization
Organization Name:NURTURING SMILES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:RDH, PDHP, MPA
Authorized Official - Phone:610-710-6493
Mailing Address - Street 1:1500 CHESTNUT ST
Mailing Address - Street 2:SUITE 2 #1304
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2006 TASKER ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-1432
Practice Address - Country:US
Practice Address - Phone:215-874-3423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty
No251K00000XAgenciesPublic Health or WelfareGroup - Single Specialty
No251V00000XAgenciesVoluntary or Charitable
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local