Organization · Type 2 NPI

Smile Center On Roosevelt LLC

General Practice Dentistry · Philadelphia, PA

NPI number 1306756085 Active

Practice location

6404 Roosevelt Blvd
Philadelphia, PA 19149-2943

Mailing address

528 Street Rd
Southampton, PA 18966-3747

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1306756085

Smile Center On Roosevelt LLC's National Provider Identifier is 1306756085, issued on Sep 8, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 8, 2026.