Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Smile for Life PC

Organization General Practice Dentistry · NPI 1902459902

Smile for Life PC is a General Practice Dentistry in Philadelphia, Pennsylvania. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9173 Roosevelt Blvd Spc 22
Philadelphia, PA 19114-2204
Phone: (215) 515-4797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1902459902
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nino Taboridze — Manager · (215) 552-9800
NPI enumeratedJuly 18, 2019
Last updated in NPPESAugust 7, 2019
Mailing address9173 Roosevelt Blvd Spc 22, Philadelphia, PA 19114-2204

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