Provider Demographics
NPI:1417540808
Name:ADVANCED DENTAL DESIGNS OF EAST NORRITON
Entity Type:Organization
Organization Name:ADVANCED DENTAL DESIGNS OF EAST NORRITON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANANDSARAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BHAGAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-495-9828
Mailing Address - Street 1:323 W JOHNSON HWY
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-1992
Mailing Address - Country:US
Mailing Address - Phone:267-495-9828
Mailing Address - Fax:
Practice Address - Street 1:323 W JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-1992
Practice Address - Country:US
Practice Address - Phone:267-495-9828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental