Healthcare Provider Details

I. General information

NPI: 1699696872
Provider Name (Legal Business Name): UPPER DUBLIN FAMILY DENTISTRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3515 W MORELAND RD
WILLOW GROVE PA
19090
US

IV. Provider business mailing address

3515 W MORELAND RD
WILLOW GROVE PA
19090
US

V. Phone/Fax

Practice location:
  • Phone: 215-657-3770
  • Fax:
Mailing address:
  • Phone: 215-657-3770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. YUVAL AZULAY
Title or Position: OWNER
Credential: D.M.D
Phone: 215-657-3770