Innovative Implant & Oral Surgery Pc, NPI 1679547707
Specialist in Feasterville Trevose, PA, US

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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
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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

174400000X

Taxonomy Name Specialist
Classification

Specialist

Group

Other Service Providers

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.

Other Organization Name

Nissman-Salin Oral & Maxillofacial Surgery PC
Former Legal Business Name

Business Address

Innovative Implant & Oral Surgery Pc
1300 Bridgetown Pike

Feasterville Trevose, PA, US

Phone: 215-322-7810
Fax: 215-322-7832

Mailing Address

Innovative Implant & Oral Surgery Pc
1300 Bridgetown Pike
Feasterville Trevose, PA, US
ZIP 190534326
Phone: 215-322-7810
Fax: 215-322-7832

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

174400000X

Other Service Providers

Specialist

DS030984L PA No

332BC3200X

Suppliers

Durable Medical Equipment & Medical Supplies

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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