1023470895 NPI number — DENTAL IMPLANT SOLUTIONS OF GREATER PHILADELPHIA, LLC

Table of content: (NPI 1023470895)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023470895 NPI number — DENTAL IMPLANT SOLUTIONS OF GREATER PHILADELPHIA, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DENTAL IMPLANT SOLUTIONS OF GREATER PHILADELPHIA, LLC
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:
1023470895
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/22/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1260 EASTON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ABINGTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19001-3128
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-695-6666
Provider Business Mailing Address Fax Number:
215-884-9085

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1260 EASTON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ABINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19001-3128
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-695-6666
Provider Business Practice Location Address Fax Number:
215-884-9085
Provider Enumeration Date:
03/22/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FREEDMAN
Authorized Official First Name:
I.
Authorized Official Middle Name:
JAY
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
215-695-6666

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  DS020755L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1223P0300X , with the licence number: DS026216L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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