| NPI | 1548415243 |
|---|---|
| Doing Business As | ADVANCED DENTISTRY OF COLLEGEVILLE PC |
| Entity Type | Organization |
| Authorized Contact | EME NELLY SILVA Dentist 610-489-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 305S00000X Point of Service (Licence: PA DS036175) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: PA DS036175) | |
| 1223P0300X Dentist, Periodontics | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223E0200X Dentist, Endodontics | |
| 1223D0004X Dentist, Dentist Anesthesiologist Speciality | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2013-08-19 |