OrganizationActive
Smile for Life PC
NPI 1902459902 · General Practice Dentistry · Philadelphia, PA
Smile for Life PC is a General Practice Dentistry organization in Philadelphia, PA (NPI 1902459902).
Provider details
- NPI number
- 1902459902
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Nino Taboridze, Manager(215) 552-9800
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9173 Roosevelt Blvd Spc 22
Philadelphia, PA 19114-2204
Phone: (215) 515-4797
Street-level locationGet directions
Mailing address
9173 Roosevelt Blvd Spc 22
Philadelphia, PA 19114-2204
Registry dates
- Enumerated
- 2019-07-18
- Last updated
- 2019-08-07
Frequently asked questions
- What is Smile for Life PC's NPI number?
- Smile for Life PC's National Provider Identifier (NPI) is 1902459902, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Smile for Life PC?
- Smile for Life PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Smile for Life PC located?
- Smile for Life PC's practice location on file with NPPES is 9173 Roosevelt Blvd Spc 22, Philadelphia, PA 19114-2204.
- What is Smile for Life PC's phone number?
- The practice phone number listed in the NPPES registry for Smile for Life PC is (215) 515-4797.
- Who is the authorized official for Smile for Life PC?
- The authorized official listed on Smile for Life PC's NPPES record is Nino Taboridze, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Smile for Life PC's NPI active?
- Yes — Smile for Life PC's NPI (1902459902) is active in the NPPES registry as of the last update on 2019-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.