Healthcare Provider Details

I. General information

NPI: 1154286417
Provider Name (Legal Business Name): CONSHOHOCKEN DENTAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W RIDGE PIKE STE 129
CONSHOHOCKEN PA
19428-3705
US

IV. Provider business mailing address

38 WILSON WAY
PHOENIXVILLE PA
19460-1033
US

V. Phone/Fax

Practice location:
  • Phone: 201-655-3351
  • Fax:
Mailing address:
  • Phone: 201-655-3351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MAHESHKUMAR SOLANKI
Title or Position: OWNER
Credential:
Phone: 347-429-4151