Mundenar, Michael J.
Mundenar, Michael J. is an sole proprietor health care provider with primary practice located at 606 Floral Vale Blvd , Yardley PA 19067-5528. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Mundenar, Michael J. can be contacted via phone (215) 504-0600.Contact Information
Primary practice address
606 Floral Vale Blvd
Yardley PA 19067-5528
Phone: (215) 504-0600
Fax: (215) 504-0951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | DS-024081-L | Pennsylvania |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DS024081L | Pennsylvania |
Profile Details
| NPI number | 1245252659 |
|---|---|
| LBN Legal business name | Mundenar, Michael J. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jun 22nd, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245252659 | NPPES |
| Pennsylvania | Other | 00042493000 | KEYSTONE HEALTH PLAN EAST |
| Pennsylvania | Other | 166433 | KEYSTONE HEALTH PLAN EAST |
| Pennsylvania | Other | WA190229655 | KEYSTONE HEALTH PLAN EAST |
| Pennsylvania | Other | 68626 | KEYSTONE HEALTH PLAN EAST |
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