Kids Smiles

LBN: Kids Smiles
Kids Smiles is an health care organization with primary practice located at 2821 Island Ave Suite 210, Philadelphia PA 19153-2300. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / General Practice is the primary health care specialty. Kids Smiles can be contacted via phone (215) 492-9291, or through Mastra, Noni via phone (215) 492-9291.

Contact Information

Primary practice address
2821 Island Ave Suite 210 Philadelphia PA 19153-2300
Phone: (215) 492-9291
Fax: (215) 492-5856
Website:
Map and Directions
Authorized official contact:
Name: Mastra, Noni
Phone: (215) 492-9291

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS035389 Pennsylvania
Dental Providers / General Practice 1223G0001X DS035558 Pennsylvania
Dental Providers / Pediatric Dentistry 1223P0221X Pennsylvania

Profile Details

NPI number 1326189820
LBN Legal business name Kids Smiles
DBA Doing business as
Authorized official Mastra, Noni
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated May 10th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326189820 NPPES
Pennsylvania MEDICAID 0018280190001

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