# SMILE CREATIONS PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1225059330
- **Authorized official:** DR. NICHOLAS BENCIE DMD (PRESIDENT OWNER)
- **Authorized official phone:** (856) 692-0060

## Contact information

- **Practice address:** 630 S BREWSTER RD, SUITE A-2, VINELAND, NJ 08361-7801
- **Practice address phone:** (856) 692-0060
- **Practice address fax:** (856) 692-0382
- **Mailing address:** 630 S BREWSTER RD, SUITE A-2, VINELAND, NJ 08361-7801
- **Mailing address phone:** (856) 692-0060
- **Mailing address fax:** (856) 692-0382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22D101649200 | NJ | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 07/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 16492 | DELTA DENTAL | NJ |
| 01 | — | 182501 | UNITED CONCORDIA | PA |