Provider Demographics
NPI:1023774486
Name:AMDENT LTD.
Entity type:Organization
Organization Name:AMDENT LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:FITZCHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-372-6313
Mailing Address - Street 1:1301 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-2140
Mailing Address - Country:US
Mailing Address - Phone:610-372-3800
Mailing Address - Fax:
Practice Address - Street 1:1200 WELSH RD STE D
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-3773
Practice Address - Country:US
Practice Address - Phone:484-370-4775
Practice Address - Fax:267-388-1951
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMDENT LTD.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty