Healthcare Provider Details

I. General information

NPI: 1659458222
Provider Name (Legal Business Name): DENS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 04/03/2023
Certification Date: 04/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

528 STREET RD
SOUTHAMPTON PA
18966-3747
US

IV. Provider business mailing address

528 STREET RD
SOUTHAMPTON PA
18966-3747
US

V. Phone/Fax

Practice location:
  • Phone: 215-230-4464
  • Fax: 215-322-4009
Mailing address:
  • Phone: 215-230-4464
  • Fax: 215-322-4009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QS0112X
TaxonomyOral and Maxillofacial Surgery Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS029797L
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. MICHAEL BELDER
Title or Position: PRESIDENT
Credential: DDS
Phone: 215-322-2262