Organization
SMILE CREATIONS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS BENCIE DMD (PRESIDENT OWNER)
(856) 692-0060
Entity
Organization
Contact information
Practice address
630 S BREWSTER RD, SUITE A-2, VINELAND, NJ 08361-7801
(856) 692-0060
(856) 692-0382
Mailing address
630 S BREWSTER RD, SUITE A-2, VINELAND, NJ 08361-7801
(856) 692-0060
(856) 692-0382
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D101649200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16492
DELTA DENTAL
NJ
01
—
182501
UNITED CONCORDIA
PA
Enumeration date
07/22/2006
Last updated
07/07/2008
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