Provider Demographics
NPI:1467556563
Name:NEW HOPE SOLEBURY DENTAL ASSOCIATES
Entity Type:Organization
Organization Name:NEW HOPE SOLEBURY DENTAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:LANDAU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-862-6400
Mailing Address - Street 1:1 VILLAGE ROW
Mailing Address - Street 2:LOGAN SQUARE
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938
Mailing Address - Country:US
Mailing Address - Phone:215-862-6400
Mailing Address - Fax:215-862-7100
Practice Address - Street 1:1 VILLAGE ROW
Practice Address - Street 2:LOGAN SQUARE
Practice Address - City:NEW HOPE
Practice Address - State:PA
Practice Address - Zip Code:18938
Practice Address - Country:US
Practice Address - Phone:215-862-6400
Practice Address - Fax:215-862-7100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAD5021617L1223G0001X
PAD5030487L1223P0221X
PAD5022193L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Not Answered1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
Not Answered1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty