Provider Demographics
NPI:1588188031
Name:MICHAEL S AYES, DDS AND ASSOCIATES PENNSYLVANIA II, PC
Entity Type:Organization
Organization Name:MICHAEL S AYES, DDS AND ASSOCIATES PENNSYLVANIA II, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:AYES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:267-266-8739
Mailing Address - Street 1:600 W GERMANTOWN PIKE STE 400
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1046
Mailing Address - Country:US
Mailing Address - Phone:267-266-8739
Mailing Address - Fax:
Practice Address - Street 1:3536 RHOADS AVE
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-3702
Practice Address - Country:US
Practice Address - Phone:610-356-5660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-26
Last Update Date:2017-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0190980L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty