STATE OF THE ART SMILES – NPI #1710491626
Clinic/Center

STATE OF THE ART SMILES is an AHC clinic located in MARLTON, NJ. NPPES has assigned the NPI number 1710491626 to STATE OF THE ART SMILES on November 30, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “STATE OF THE ART SMILES” is a dba name, the actual legal business name for this organization is MARLTON FAMILY DENTISTRY LLC. This provider is also associated with 2 additional names listed below. 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

The NPI profile was previously updated about 8 years ago on Jun 16, 2018. 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 STATE OF THE ART SMILES below.

NPI Profile for
MARLTON FAMILY DENTISTRY LLC

NPI Number
1710491626
Enumeration Date

(more than 8 years 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
MARLTON FAMILY DENTISTRY LLC
Doing Business As (dba): STATE OF THE ART SMILES
Other name(s)
All associated names:
Doing Business As (dba)
Marlton Family Dentistry
Doing Business As (dba)
State of the Art Smiles
Primary location
560A LIPPINCOTT DR BLDG B
MARLTON, NJ 08053
Phone: (856) 985-1800 Fax: (856) 985-7170
Mailing address
560A LIPPINCOTT DR
BLDG B
MARLTON, NJ 08053
Phone: (856) 985-1800 Fax: (856) 985-7170
Organization Subpart
No
Authorized Official
BLAKE ENTRALGO
OWNER
Phone: (281) 851-6064
Updated
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)		 NJ 22DI02666400

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.