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NPI Code Detail

MEDICARE: DR. TIANA SOLDACKI-HAN DMD

MEDICARE: DR. TIANA SOLDACKI-HAN DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDS044778PA

General Provider Information

NPI Number : 1306690912
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIANA SOLDACKI-HAN DMD
Provider Business Mailing Address
First Line : 1200 OLD YORK RD
Second Line :
City : ABINGTON
State : PA
Zip : 19001-3788
Country : US
Telephone Number : 215-481-2000
Fax Number :
Provider Business Practice Location Address
First Line : 9501 ROOSEVELT BLVD STE 207
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19114-1027
Country : US
Telephone Number : 215-673-1333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2024
Last Update Date : 07/24/2025

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Directions to “ DR. TIANA SOLDACKI-HAN DMD” Practice Location

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