Healthcare Provider Details

I. General information

NPI: 1134023930
Provider Name (Legal Business Name): NORTH PENN ENDODONTICS LTD II
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 S 5TH ST STE 300
QUAKERTOWN PA
18951-1682
US

IV. Provider business mailing address

127 S 5TH ST STE 300
QUAKERTOWN PA
18951-1682
US

V. Phone/Fax

Practice location:
  • Phone: 215-855-1173
  • Fax:
Mailing address:
  • Phone: 215-855-1173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number StateNULL

VIII. Authorized Official

Name: MICHAELA MUNIZ
Title or Position: VP, PAYOR RELATIONS
Credential:
Phone: 469-324-3242