MEDICARE: DENS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DS029797L	PA
2	261QS0112X	Oral and Maxillofacial Surgery Clinic/Center
3	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1659458222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENS INC

Provider Business Mailing Address
First Line	:	528 STREET RD
Second Line	:
City	:	SOUTHAMPTON
State	:	PA
Zip	:	18966-3747
Country	:	US
Telephone Number	:	215-230-4464
Fax Number	:	215-322-4009

Provider Business Practice Location Address
First Line	:	528 STREET RD
Second Line	:
City	:	SOUTHAMPTON
State	:	PA
Zip	:	18966-3747
Country	:	US
Telephone Number	:	215-230-4464
Fax Number	:	215-322-4009

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHAEL BELDER
Credential	:	DDS
Telephone Number	:	215-322-2262

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	04/03/2023

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