1487985172 NPI number — ACCESS ORTHODONTICS OF SINGLETON PA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487985172 NPI number — ACCESS ORTHODONTICS OF SINGLETON PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ACCESS ORTHODONTICS OF SINGLETON PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487985172
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/20/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2223 SINGLETON BLVD
Provider Second Line Business Mailing Address:
SUITE #212
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75212-3783
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-678-9200
Provider Business Mailing Address Fax Number:
214-678-9208

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2223 SINGLETON BLVD
Provider Second Line Business Practice Location Address:
SUITE #212
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75212-3783
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-678-9200
Provider Business Practice Location Address Fax Number:
214-678-9208
Provider Enumeration Date:
01/20/2010

Additional Information

Authorized Official

Authorized Official Last Name:
PATEL
Authorized Official First Name:
ANURAG
Authorized Official Middle Name:
RAMESH
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
214-678-9200

Provider Taxonomy Codes

  • Taxonomy code: 1223X0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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