MEDICARE: PENNBROOK DENTISTRY

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1720666845
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PENNBROOK DENTISTRY

Provider Business Mailing Address
First Line	:	298 WISSAHICKON AVE STE 3
Second Line	:
City	:	NORTH WALES
State	:	PA
Zip	:	19454-4156
Country	:	US
Telephone Number	:	215-699-1009
Fax Number	:	215-699-1022

Provider Business Practice Location Address
First Line	:	298 WISSAHICKON AVE STE 3
Second Line	:
City	:	NORTH WALES
State	:	PA
Zip	:	19454-4156
Country	:	US
Telephone Number	:	215-699-1009
Fax Number	:	215-699-1022

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PRIYA PATEL
Credential	:	DDS
Telephone Number	:	828-508-6940

Provider Enumeration Date	:	03/30/2021
Last Update Date	:	12/05/2021

Similar Medicare Providers

1194104604 — PRIYA SANTILAL PATEL DDS
Practice Location Address:

298 WISSAHICKON AVE STE 3
NORTH WALES, PA
19454-4156

Practice Phone: 215-699-1009
Practice Fax: 215-699-1022

1598106791 — DR. KENNETH DONALD DANIELS BS,PHARMD
Practice Location Address:

4156 DUNMORE DR
LAKE WALES, FL
33859-5742

Practice Phone: 863-949-4284
Practice Fax: 863-949-4286

1801264320 — APRIL LYNN WOLFE PA-C
Practice Location Address:

2171 ASHLEY PHOSPHATE RD STE A
NORTH CHARLESTON, SC
29406-4156

Practice Phone: 843-885-0898
Practice Fax:

1154666725 — MADISON HALEY BUCK DNP. DOCTOR OF NURSI
Practice Location Address:

1425 HORSHAM RD
NORTH WALES, PA
19454-1320

Practice Phone: 215-370-3000
Practice Fax:

1942206925 — EAST PENN DERMATOLOGY, P.C.
Practice Location Address:

311 N SUMNEYTOWN PIKE , STE 1E
NORTH WALES, PA
19454-2532

Practice Phone: 215-661-0300
Practice Fax: 215-661-0302

1376549360 — DR. MICHAEL B STIERSTORFER M.D.
Practice Location Address:

311 N SUMNEYTOWN PIKE , STE 1E
NORTH WALES, PA
19454-2532

Practice Phone: 215-699-1929
Practice Fax: 215-661-0302

Directions to “PENNBROOK DENTISTRY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.