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
Fax: (610) 995-0107
Website:
Authorized official contact:
Name: Terry, Bruce R Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528116738 NPPES
Pennsylvania Other DS-025210L DENTAL LICENSE

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