Charles B Nissman Dds
LBN: Innovative Implant & Oral Surgery Pc
Charles B Nissman Dds is an health care organization with primary practice located at 1300 Bridgetown Pike , Feasterville Trevose PA 19053-4326. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Suppliers / Customized Equipment. Other Service Providers / Specialist is the primary health care specialty.
Innovative Implant & Oral Surgery Pc can be contacted via phone (215) 322-7810, or through Lodise, Debra Robyn via phone (215) 322-7810.
Contact Information
Primary practice address
1300 Bridgetown Pike
Feasterville Trevose PA 19053-4326
Phone: (215) 322-7810
Fax: (215) 322-7832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | DS017304L | Pennsylvania |
| Other Service Providers / Specialist | 174400000X | DS030984L | Pennsylvania |
| Suppliers / Customized Equipment | 332BC3200X |
Profile Details
| NPI number | 1679547707 |
|---|---|
| LBN Legal business name | Innovative Implant & Oral Surgery Pc |
| DBA Doing business as | Charles B Nissman Dds |
| Authorized official | Lodise, Debra Robyn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Jan 10th, 2023 - about last year |
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 | 1679547707 | NPPES |
| Pennsylvania | Other | 1615888 | SALIN BLUE SHIELD |
| Pennsylvania | Other | 0547613000 | SALIN BLUE SHIELD |
| Pennsylvania | Other | 4437 | SALIN BLUE SHIELD |
| Pennsylvania | Other | 161558 | SALIN BLUE SHIELD |
| Pennsylvania | Other | 747908 | SALIN BLUE SHIELD |
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