Provider Demographics
NPI:1801435458
Name:HEALTHY SMILES OF ABINGTON, LLC
Entity type:Organization
Organization Name:HEALTHY SMILES OF ABINGTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:KIRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-657-2454
Mailing Address - Street 1:1755 OLD YORK RD UPPR FLOOR
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-1801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1755 OLD YORK RD UPPR FLOOR
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-1801
Practice Address - Country:US
Practice Address - Phone:215-657-2454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-30
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty