Healthcare Provider Details

I. General information

NPI: 1518026715
Provider Name (Legal Business Name): NEWHOPE SOLEBURY DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 11/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 VILLAGE ROW LOGAN SQUARE
NEW HOPE PA
18938-1061
US

IV. Provider business mailing address

1 VILLAGE ROW LOGAN SQUARE
NEW HOPE PA
18938-1061
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 TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

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