| North Penn Endodontics Ltd Ii | |
|
2100 N Broad Street Suite 201 Lansdale PA 19446 | |
| (215) 855-1173 | |
| (215) 855-1936 |
| Full Name | North Penn Endodontics Ltd Ii |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2100 N Broad Street, Lansdale, Pennsylvania |
| Authorized Official Name and Position | Neil Larry Balick (PRESIDENT) |
| Authorized Official Contact | 2158551173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Penn Endodontics Ltd Ii 2100 N Broad Street Suite 201 Lansdale PA 19446 Ph: (215) 855-1173 | North Penn Endodontics Ltd Ii 2100 N Broad Street Suite 201 Lansdale PA 19446 Ph: (215) 855-1173 |
| NPI Number | 1730105107 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730105107 | NPI | - | NPPES |
| 054393 | Other | BLUE SHIELD | |
| 89839 | Other | AETNA | |
| 113237 | Other | CIGNA | |
| 054393 | Other | AMERIHEALTH | |
| 1560 | Other | AETNA DMO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (Pennsylvania) | Primary |
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