Organization
DENT-AL SMILES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENG CHENG DMD (OWNER/DENTIST)
(814) 942-4699
Entity
Organization
Contact information
Practice address
29 NORTH MAIN STREET, GREENSBURG, PA 15601-2401
(724) 837-3911
(724) 837-7511
Mailing address
125 EAST PLEASANT VALLEY BLVD., ALTOONA, PA 16602-5544
(814) 942-4699
(814) 942-4587
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS021038
PA
1223G0001X
General Practice Dentistry
DS036341
PA
1223G0001X
General Practice Dentistry
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017308000001
—
PA
Enumeration date
07/18/2007
Last updated
11/12/2015
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