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Export Provider Record NPI 1417612573
Smilehaus Pediatric Dentistry, Pllc
Organization Subpart: NO
Active
NPI Number1417612573
NPI TypeNPI-2 Organization
SpecialtyDentist, Pediatric Dentistry
Provider Details
NPI1417612573
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2021-11-03
Last Updated2021-11-03
Authorized OfficialNana Odoom
Pediatric Dentist
Phone: 7175894500
Mailing Address417 Old Farm Ln
Mechanicsburg, PA 17050-4117
United States
Phone: (571) 225-7921
📍 View Map
Primary Practice Address200 Bent Creek Blvd
Mechanicsburg, PA 17050-1938
United States
Phone: (717) 589-4500 | Fax: (717) 207-7060
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes1223P0221X – Dentist, Pediatric Dentistry--
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About NPI 1417612573

Smilehaus Pediatric Dentistry, Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1417612573. The primary specialty listed is Dentist, Pediatric Dentistry. The organization is located in Mechanicsburg, PA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-11-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1417612573?

NPI 1417612573 belongs to Smilehaus Pediatric Dentistry, Pllc, a Dentist, Pediatric Dentistry in Mechanicsburg, PA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1417612573 active?

The current status of NPI 1417612573 in the NPPES registry is Active. The record was last updated on 2021-11-03.

What specialty is NPI 1417612573?

NPI 1417612573 is classified under the taxonomy Dentist, Pediatric Dentistry. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1417612573?

You can verify NPI 1417612573 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1417612573?

The primary practice address on file for NPI 1417612573 is 200 Bent Creek Blvd, Mechanicsburg, PA 17050-1938. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1417612573 issued?

NPI 1417612573 was first issued (enumerated) on 2021-11-03. The NPPES record was last updated on 2021-11-03.

Practice Location Map

Smilehaus Pediatric Dentistry, Pllc is located at 200 Bent Creek Blvd, Mechanicsburg, PA. Use the map below to find directions or verify the practice location.

📍 200 Bent Creek Blvd, Mechanicsburg, PA 17050-1938  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Smilehaus Pediatric Dentistry, Pllc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-29 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162