Provider Demographics
NPI:1558707067
Name:NORRISTOWN DENTAL CENTER
Entity Type:Organization
Organization Name:NORRISTOWN DENTAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SEEMA
Authorized Official - Middle Name:BHALCHANDRA
Authorized Official - Last Name:NAVATHE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-631-9931
Mailing Address - Street 1:1425 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-3210
Mailing Address - Country:US
Mailing Address - Phone:610-631-9931
Mailing Address - Fax:610-631-9667
Practice Address - Street 1:1425 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19403-3210
Practice Address - Country:US
Practice Address - Phone:610-631-9931
Practice Address - Fax:610-631-9667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-12
Last Update Date:2013-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028826L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty