Bucks Mont Dental, LLC
Clinic/Center, Dental in North Wales, PA. Organization (NPI-2).
NPI number1609613983
StatusActive
Last updated in NPPESJul 12, 2024
Details
- NPI
- 1609613983
- Entity type
- Organization (NPI-2)
- Legal business name
- Bucks Mont Dental, LLC
- Organization subpart
- No
- Enumeration date
- Jul 12, 2024
- Certification date
- Jul 12, 2024
- Last updated
- Jul 12, 2024
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 |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
1501 Lower State Rd Bldg CNorth Wales, PA 19454-1216
Phone 267-477-1711
Mailing address
1501 Lower State Rd Bldg CNorth Wales, PA 19454-1216
Phone 267-477-1711
Authorized official
Tatyana Zaborovsky
Dentist
6179393026
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 Dental Clinic/Center providers in North Wales, PA
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All 6 Dental Clinic/Center providers in North Wales · All 495 providers in North Wales
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