# STATE OF THE ART SMILES, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093113680
- **Authorized official:** TERESA ADDIEGO MOORE DMD (PRESIDENT/OWNER)
- **Authorized official phone:** (856) 985-1800

## Contact information

- **Practice address:** 560A LIPPINCOTT DR, MARLTON, NJ 08053
- **Practice address phone:** (856) 985-1880
- **Practice address fax:** (856) 985-7170
- **Mailing address:** 560A LIPPINCOTT DR, MARLTON, NJ 08053
- **Mailing address phone:** (856) 985-1880
- **Mailing address fax:** (856) 985-7170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DI01771700 | NJ | Yes |
| 122300000X | Dentist | DI02582400 | NJ | — |
| 1223P0300X | Periodontics | DI02514400 | NJ | — |

## Other

- **Enumeration date:** 12/12/2014
- **Last updated:** 12/12/2014