# FRESH SMILES PLLC

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

## Provider details

- **NPI number:** 1679287676
- **Authorized official:** DR. JORDAN SHEA BOWER DMD (OWNER)
- **Authorized official phone:** (717) 433-6714

## Contact information

- **Practice address:** 140 W GERMANTOWN PIKE STE 150, PLYMOUTH MEETING, PA 19462-1434
- **Practice address phone:** (484) 531-7410
- **Practice address fax:** (484) 532-8222
- **Mailing address:** 140 W GERMANTOWN PIKE STE 150, PLYMOUTH MEETING, PA 19462-1434
- **Mailing address phone:** (484) 531-7410
- **Mailing address fax:** (484) 532-8222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/13/2023
- **Last updated:** 01/13/2023