Innovative Implant & Oral Surgery Pc, NPI 1679547707
Specialist in Feasterville Trevose, PA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1679547707 |
| NPI Entity Type | Organization |
| Provider Name |
Innovative Implant & Oral Surgery Pc
Former Legal Business Name |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1300 Bridgetown Pike, Feasterville Trevose, PA, US |
| Provider Mailing Address | 1300 Bridgetown Pike, Feasterville Trevose, PA, US, 190534326 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MS. Debra Robyn Lodise |
| Official Position | OFFICE MANAGER |
| Phone | 215-322-7810 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X MULTIPLE SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Specialist |
| Classification | |
| Group | |
| License No. | DS017304L |
| License State | PA |
| Description | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| DS030984L | PA | No | |||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 161558 | PA | NISSMAN BLUE SHIELD | 01 |
| 1615888 | PA | SALIN BLUE SHIELD | 01 |
| 4437 | PA | AETNA NISSMAN | 01 |
| 747908 | PA | BLUE SHIELD GROUP# | 01 |
| 0547613000 | PA | KEYST GROUP# | 01 |
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