Healthcare Provider Details

I. General information

NPI: 1750211561
Provider Name (Legal Business Name): YASSER ISKANDARANI DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 ATRIUM CT STE A
MONROE TOWNSHIP PA
17870-9019
US

IV. Provider business mailing address

535 N BUDD ST APT 2A
PHILADELPHIA PA
19104-1782
US

V. Phone/Fax

Practice location:
  • Phone: 570-676-1610
  • Fax:
Mailing address:
  • Phone: 215-902-0180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS045681
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: