# SHEN SMILES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHEN SMILES
- **Other names:** Shen Smiles
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164005310
- **Legal business name:** SHEN SMILES
- **Authorized official:** DR. LINDA SHEN DDS (DOCTOR)
- **Authorized official phone:** (570) 956-9962

## Contact information

- **Practice address:** 565 W PENN PIKE STE 1, TAMAQUA, PA 18252-5673
- **Practice address phone:** (570) 225-7498
- **Practice address fax:** (570) 225-7495
- **Mailing address:** 565 W PENN PIKE STE 1, TAMAQUA, PA 18252-5673
- **Mailing address phone:** (570) 225-7498
- **Mailing address fax:** (570) 225-7495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2021
- **Last updated:** 05/04/2021