| Michael J. Mundenar, D.m.d.,p.c. | |
|
606 Floral Vale Blvd Yardley PA 19067-5528 | |
| (215) 504-0600 | |
| (215) 504-0951 |
| Full Name | Michael J. Mundenar, D.m.d.,p.c. |
|---|---|
| Speciality | Dentist |
| Location | 606 Floral Vale Blvd, Yardley, Pennsylvania |
| Authorized Official Name and Position | Michael Joseph Mundenar (PRESIDENT) |
| Authorized Official Contact | 2155040600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J. Mundenar, D.m.d.,p.c. 606 Floral Vale Blvd Yardley PA 19067-5528 Ph: (215) 504-0600 | Michael J. Mundenar, D.m.d.,p.c. 606 Floral Vale Blvd Yardley PA 19067-5528 Ph: (215) 504-0600 |
| NPI Number | 1285752881 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1052595659 |
|---|---|
| Medicare Enrollment ID | O20110406000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285752881 | NPI | - | NPPES |
| 68626 | Other | PA | AETNA |
| 00042493000 | Other | PA | KHPE |
| 166433 | Other | PA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | DS-024081-L (Pennsylvania) | Primary |
| Provider Name | Michael J Mundenar |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1245252659 PECOS PAC ID: 2961686563 Enrollment ID: I20110503000040 |
| Provider Name | David W Lui |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1952556805 PECOS PAC ID: 8325299712 Enrollment ID: I20160309000439 |
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