Healthcare Provider Details

I. General information

NPI: 1225341662
Provider Name (Legal Business Name): ALLIED ORTHODONTICS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2010
Last Update Date: 07/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 MIDDLETOWN BLVD SUITE 200
LANGHORNE PA
19047
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 215-757-4400
  • Fax: 215-757-6405
Mailing address:
  • Phone: 215-550-7186
  • Fax: 215-646-6369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS029756L
License Number StatePA

VIII. Authorized Official

Name: BHASKAR SAVANI
Title or Position: OWNER
Credential: DMD
Phone: 215-550-7186