# SMILEBUILDERZ LLC

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

## Provider details

- **NPI number:** 1922124767
- **Authorized official:** DR. ANTHONY P SKIADAS DMD (OWNER AND DENTIST)
- **Authorized official phone:** (717) 481-7645

## Contact information

- **Practice address:** 1685 CROWN AVE, SUITE 200, LANCASTER, PA 17601-6310
- **Practice address phone:** (717) 481-7645
- **Practice address fax:** (717) 481-7655
- **Mailing address:** 204 BUTLER AVE STE 102, LANCASTER, PA 17601-6307
- **Mailing address phone:** (717) 481-7645
- **Mailing address fax:** (717) 481-7655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS018166I | PA | — |
| 122300000X | Dentist | DS027910L | PA | — |
| 122300000X | Dentist | DS029837L | PA | Yes |
| 122300000X | Dentist | DS036610 | PA | — |
| 122300000X | Dentist | DS036800 | PA | — |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 12/04/2024