Organization
SMILEBUILDERZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY P SKIADAS DMD (OWNER AND DENTIST)
(717) 481-7645
Entity
Organization
Contact information
Practice address
1685 CROWN AVE, SUITE 200, LANCASTER, PA 17601-6310
(717) 481-7645
(717) 481-7655
Mailing address
204 BUTLER AVE STE 102, LANCASTER, PA 17601-6307
(717) 481-7645
(717) 481-7655
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS018166I
PA
122300000X
Dentist
DS027910L
PA
122300000X
Dentist
Primary
DS029837L
PA
122300000X
Dentist
DS036610
PA
122300000X
Dentist
DS036800
PA
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
03/22/2007
Last updated
12/04/2024
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