# AFFORDABLE SMILES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AFFORDABLE SMILES, INC
- **Other names:** Affordable Smiles Meadville
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336514132
- **Legal business name:** AFFORDABLE SMILES, INC
- **Authorized official:** MR. JEREMY S HITCHCOCK (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (814) 333-6000

## Contact information

- **Practice address:** 900 WATER ST, SUITE 16, MEADVILLE, PA 16335-3428
- **Practice address phone:** (814) 333-6000
- **Practice address fax:** (814) 333-6001
- **Mailing address:** 900 WATER ST, SUITE 16, MEADVILLE, PA 16335-3428
- **Mailing address phone:** (814) 333-6000
- **Mailing address fax:** (814) 333-6001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS035205 | PA | Yes |

## Other

- **Enumeration date:** 12/04/2015
- **Last updated:** 12/04/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1028886400001 | — | PA |