Healthcare Provider Details
I. General information
NPI: 1982910535
Provider Name (Legal Business Name): A PLUS ORAL SURGERY SPECIALTY CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2010
Last Update Date: 08/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2230 N 5TH STREET HWY
READING PA
19605-2802
US
IV. Provider business mailing address
401 COMMERCE DR SUITE 108
FORT WASHINGTON PA
19034-2714
US
V. Phone/Fax
- Phone: 610-371-8844
- Fax: 610-371-8883
- Phone: 215-550-7186
- Fax: 215-646-6369
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223S0112X |
| Taxonomy | Oral and Maxillofacial Surgery (Dentist) |
| License Number | DS-029417-L |
| License Number State | PA |
VIII. Authorized Official
Name:
BHASKAR
SAVANI
Title or Position: OWNER
Credential: DMD
Phone: 215-550-7186