Provider Demographics
NPI:1831280924
Name:READING ORTHODONTIC GROUP
Entity Type:Organization
Organization Name:READING ORTHODONTIC GROUP
Other - Org Name:ROG ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ORTHODONTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:PARISI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:610-374-4097
Mailing Address - Street 1:1268 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-2130
Mailing Address - Country:US
Mailing Address - Phone:610-374-4097
Mailing Address - Fax:610-372-6119
Practice Address - Street 1:840 PENN AVENUE
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-3016
Practice Address - Country:US
Practice Address - Phone:610-374-4097
Practice Address - Fax:484-734-1303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021065L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty