Smile America Pc

LBN: Smile America Pc
Smile America Pc is an health care organization with primary practice located at 3201 Rt 38 Ste 102, Mt Laurel NJ 08054. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Smile America Pc can be contacted via phone (856) 722-0333, or through Lysenko, Tatyana A via phone (856) 722-0333.

Contact Information

Primary practice address
3201 Rt 38 Ste 102 Mt Laurel NJ 08054
Fax: (856) 722-9882
Website:
Authorized official contact:
Name: Lysenko, Tatyana A Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 19107 New Jersey

Profile Details

NPI number 1437121399
LBN Legal business name Smile America Pc
DBA Doing business as
Authorized official Lysenko, Tatyana A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2006
Last updated Mar 14th, 2013 - about 12 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 1437121399 NPPES
New Jersey MEDICAID 7047801

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