Healthcare Provider Details

I. General information

NPI: 1639093834
Provider Name (Legal Business Name): MICHELE T DIAMOND DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1316 N 5TH ST
PERKASIE PA
18944-2203
US

IV. Provider business mailing address

1316 N 5TH ST
PERKASIE PA
18944-2203
US

V. Phone/Fax

Practice location:
  • Phone: 215-257-5095
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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. MICHELE DIAMOND
Title or Position: MANAGER
Credential: DDS
Phone: 215-257-5095