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Organization
AFFORDABLE SMILES, INC.
Active
Organization
AFFORDABLE SMILES, INC.
Active
Parent organization
AFFORDABLE SMILES, INC
Other names
Affordable Smiles Meadville
Organization subpart
Yes
Provider details
NPI number
Legal business name
AFFORDABLE SMILES, INC
Authorized official
MR. JEREMY S HITCHCOCK (CHIEF OPERATING OFFICER)
(814) 333-6000
Entity
Organization
Contact information
Practice address
900 WATER ST, SUITE 16, MEADVILLE, PA 16335-3428
(814) 333-6000
(814) 333-6001
Mailing address
900 WATER ST, SUITE 16, MEADVILLE, PA 16335-3428
(814) 333-6000
(814) 333-6001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS035205
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028886400001
—
PA
Enumeration date
12/04/2015
Last updated
12/04/2015
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