Healthcare Provider Details

I. General information

NPI: 1114664513
Provider Name (Legal Business Name): BRADY HUANG DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2022
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1290 BALTIMORE PIKE STE 110
CHADDS FORD PA
19317-7361
US

IV. Provider business mailing address

33 ASHLEY CT
GLEN MILLS PA
19342-2008
US

V. Phone/Fax

Practice location:
  • Phone: 484-770-9644
  • Fax:
Mailing address:
  • Phone: 551-574-6218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS044815
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: