Healthcare Provider Details

I. General information

NPI: 1467556563
Provider Name (Legal Business Name): NEW HOPE SOLEBURY DENTAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 VILLAGE ROW LOGAN SQUARE
NEW HOPE PA
18938
US

IV. Provider business mailing address

1 VILLAGE ROW LOGAN SQUARE
NEW HOPE PA
18938
US

V. Phone/Fax

Practice location:
  • Phone: 215-862-6400
  • Fax: 215-862-7100
Mailing address:
  • Phone: 215-862-6400
  • Fax: 215-862-7100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD5021617L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberD5022193L
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberD5030487L
License Number StatePA

VIII. Authorized Official

Name: DR. EDWARD D LANDAU
Title or Position: OWNER
Credential: DMD
Phone: 215-862-6400