Provider Demographics
NPI:1518495860
Name:ERIC A. PASTER, DMD, PC
Entity Type:Organization
Organization Name:ERIC A. PASTER, DMD, PC
Other - Org Name:THE ROYERSFORD DENTIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:PASTER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-948-8518
Mailing Address - Street 1:500 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-2320
Mailing Address - Country:US
Mailing Address - Phone:610-948-8518
Mailing Address - Fax:
Practice Address - Street 1:500 WALNUT ST
Practice Address - Street 2:
Practice Address - City:ROYERSFORD
Practice Address - State:PA
Practice Address - Zip Code:19468-2320
Practice Address - Country:US
Practice Address - Phone:610-948-8518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-31
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Multi-Specialty