Healthcare Provider Details

I. General information

NPI: 1972516169
Provider Name (Legal Business Name): ANGELA AKASI ASAMOA D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANGELA AKASI KYIAMAH DDS

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 04/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

938 CHESTER PIKE
SHARON HILL PA
19079
US

IV. Provider business mailing address

938 CHESTER PIKE
SHARON HILL PA
19079
US

V. Phone/Fax

Practice location:
  • Phone: 610-586-6520
  • Fax: 610-534-9859
Mailing address:
  • Phone: 610-586-6520
  • Fax: 610-534-9859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS036025
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: