Provider Demographics
NPI:1659458222
Name:DENS INC
Entity Type:Organization
Organization Name:DENS INC
Other - Org Name:ADVANCED DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BELDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:215-322-2262
Mailing Address - Street 1:528 STREET RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-3747
Mailing Address - Country:US
Mailing Address - Phone:215-230-4464
Mailing Address - Fax:215-322-4009
Practice Address - Street 1:528 STREET RD
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-3747
Practice Address - Country:US
Practice Address - Phone:215-230-4464
Practice Address - Fax:215-322-4009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029797L1223G0001X
1223G0001X, 261QS0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial SurgeryGroup - Multi-Specialty