Organization · NPI-2

American Dental Specialties PC

Dentist, Periodontics · Allentown, PA

NPI number1124442876
StatusActive
Last updated in NPPESFeb 14, 2014

Details

NPI
1124442876
Entity type
Organization (NPI-2)
Legal business name
American Dental Specialties PC
Organization subpart
No
Enumeration date
Feb 14, 2014
Last updated
Feb 14, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics––Yes
1223S0112X Dentist, Oral and Maxillofacial Surgery––
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics––

Practice location

1651 N Cedar Crest Blvd Ste 206b
Allentown, PA 18104-2316

Phone 610-820-9901 · Fax 610-820-9922

Mailing address

1651 N Cedar Crest Blvd Ste 206b
Allentown, PA 18104-2316

Phone 610-820-9901 · Fax 610-820-9922

Authorized official

Amish Patel
Secretary
6108209901

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist, Periodontics providers in Allentown, PA