Endodontic Specialist, P.C.
LBN: Endodontic Specialist, P.C.
Endodontic Specialist, P.C. is an health care organization with primary practice located at 85 Old Eagle School Rd , Wayne PA 19087-2544. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty.
Endodontic Specialist, P.C. can be contacted via phone (610) 995-0109, or through Terry, Bruce R via phone (610) 995-0109.
Contact Information
Primary practice address
85 Old Eagle School Rd
Wayne PA 19087-2544
Phone: (610) 995-0109
Fax: (610) 995-0107
Website:
Authorized official contact:
Name: Terry, Bruce R Doctor of Dental Medicine (DMD)
Phone: (610) 995-0109
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Endodontics | 1223E0200X | DS-025210L | Pennsylvania |
Profile Details
NPI number | 1528116738 |
---|---|
LBN Legal business name | Endodontic Specialist, P.C. |
DBA Doing business as | |
Authorized official | Terry, Bruce R Doctor of Dental Medicine (DMD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 7th, 2007 |
Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528116738 | NPPES |
Pennsylvania | Other | DS-025210L | DENTAL LICENSE |
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