Healthcare Provider Details

I. General information

NPI: 1184587933
Provider Name (Legal Business Name): DEVIDEVANSH1 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

518 N OXFORD VALLEY RD
LANGHORNE PA
19047-8307
US

IV. Provider business mailing address

518 N OXFORD VALLEY RD
LANGHORNE PA
19047-8307
US

V. Phone/Fax

Practice location:
  • Phone: 267-689-7089
  • Fax: 267-689-7089
Mailing address:
  • Phone: 267-689-7089
  • Fax: 267-689-7089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: CHANDANI PATEL
Title or Position: DENTIST
Credential: DDS
Phone: 267-689-7089