Provider Demographics
NPI:1285171033
Name:SMILESAVERS DENTISTRY PC
Entity type:Organization
Organization Name:SMILESAVERS DENTISTRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:0WNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:UNGAREAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-857-1010
Mailing Address - Street 1:3153 BRODHEAD RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-1370
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3153 BRODHEAD RD
Practice Address - Street 2:SUITE A
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-1370
Practice Address - Country:US
Practice Address - Phone:724-857-1010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-31
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty