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Innovative Implant & Oral Surgery Pc
Customized Equipment (DME) in Feasterville Trevose, Pennsylvania
NPI 1679547707

Innovative Implant & Oral Surgery Pc is a Customized Equipment (DME) based in Feasterville Trevose, PA and is specialized in Customized Equipment. Innovative Implant & Oral Surgery Pc practices in Feasterville Trevose, PA. The NPI Number for Innovative Implant & Oral Surgery Pc is 1679547707 and holds a License No. DS017304L (Pennsylvania).

The current practice location address for Innovative Implant & Oral Surgery Pc is 1300 Bridgetown Pike, Feasterville Trevose, PA and can be reached out via phone at 215-322-7810 and via fax at 215-322-7832.

Location: 1300 Bridgetown Pike, Feasterville Trevose, PA, 19053-4326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679547707
Provider Name
Innovative Implant & Oral Surgery Pc
Credential
Provider Entity Type
Organization
Address
1300 Bridgetown Pike, Feasterville Trevose, PA, 19053-4326
Phone Number
215-322-7810
Fax Number
215-322-7832
Provider Enumeration Date
02/15/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1615888 01 PA SALIN BLUE SHIELD
0547613000 01 PA KEYST GROUP#
4437 01 PA AETNA NISSMAN
161558 01 PA NISSMAN BLUE SHIELD
747908 01 PA BLUE SHIELD GROUP#
institution
Provider Business Practice Location Address Details
Address
1300 Bridgetown Pike
City
Feasterville Trevose
State
Pennsylvania
Zip
19053-4326
Phone Number
215-322-7810
Fax Number
215-322-7832
person
Provider Business Mailing Address Details
Address
1300 Bridgetown Pike
City
Feasterville Trevose
State
Pennsylvania
Zip
19053-4326
Phone Number
215-322-7810
Fax Number
215-322-7832
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
DS030984L (Pennsylvania)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
DS017304L (Pennsylvania)
Definition
Definition to come...
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