Advanced Dental Speciality PC
Clinic/Center, Oral and Maxillofacial Surgery in Philadelphia, PA. Organization (NPI-2).
NPI number1144094764
StatusActive
Last updated in NPPESNov 14, 2023
Details
- NPI
- 1144094764
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Dental Speciality PC
- Organization subpart
- No
- Enumeration date
- Nov 14, 2023
- Certification date
- Nov 14, 2023
- Last updated
- Nov 14, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS0112X | Clinic/Center, Oral and Maxillofacial Surgery | – | – | Yes |
| 261QD0000X | Clinic/Center, Dental | – | – |
Practice location
1100 Snyder AvePhiladelphia, PA 19148-5522
Phone 215-543-6500
Mailing address
38 Wilson WayPhoenixville, PA 19460-1033
Authorized official
Maheshkumar Solanki
Owner
2155436500
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