CELEBRITY SMILE STUDIO PC – NPI #1114811650
Clinic/Center

CELEBRITY SMILE STUDIO PC is an AHC clinic located in FLOURTOWN, PA. NPPES has assigned the NPI number 1114811650 to CELEBRITY SMILE STUDIO PC on June 09, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CELEBRITY SMILE STUDIO PC below.

NPI Profile for
CELEBRITY SMILE STUDIO PC

NPI Number
1114811650
Enumeration Date

(about a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CELEBRITY SMILE STUDIO PC
Primary location
1811 BETHLEHEM PIKE STE B235
FLOURTOWN, PA 19031-1111
Phone: (215) 390-4672 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DILIP DUDHAT
PRESIDENT
Phone: (215) 237-6099
Updated
Certification Date
Jun 08, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.