Healthcare Provider Details

I. General information

NPI: 1922339043
Provider Name (Legal Business Name): ALLIED ORTHODONTICS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2010
Last Update Date: 01/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

456 SCHOOL LN SUITE 101
HARLEYSVILLE PA
19438-1715
US

IV. Provider business mailing address

401 COMMERCE DR SUITE 108
FORT WASHINGTON PA
19034-2714
US

V. Phone/Fax

Practice location:
  • Phone: 215-513-1551
  • Fax: 215-513-4255
Mailing address:
  • Phone: 215-525-0105
  • Fax: 215-646-6369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDS-029756-L
License Number StatePA

VIII. Authorized Official

Name: NIRANJAN SAVANI
Title or Position: OWNER
Credential: D.M.D.
Phone: 215-513-1551