Provider Demographics
NPI:1487200432
Name:DENTAL EXCELLENCE OF ALLENTOWN
Entity Type:Organization
Organization Name:DENTAL EXCELLENCE OF ALLENTOWN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:DUDHAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-237-6099
Mailing Address - Street 1:2610 MORAVIAN AVE
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-5521
Mailing Address - Country:US
Mailing Address - Phone:732-642-4738
Mailing Address - Fax:
Practice Address - Street 1:2610 MORAVIAN AVE
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-5521
Practice Address - Country:US
Practice Address - Phone:732-642-4738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental