Provider Demographics
NPI:1871466441
Name:ORTHODONTIC ASSOCIATES OF COLLEGEVILLE, P.C.
Entity type:Organization
Organization Name:ORTHODONTIC ASSOCIATES OF COLLEGEVILLE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER/ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:S
Authorized Official - Last Name:PAVLOW
Authorized Official - Suffix:
Authorized Official - Credentials:DMD MS
Authorized Official - Phone:610-409-9880
Mailing Address - Street 1:555 SECOND AVE STE E-202
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-3622
Mailing Address - Country:US
Mailing Address - Phone:610-409-9880
Mailing Address - Fax:610-409-9895
Practice Address - Street 1:555 SECOND AVE STE E-202
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-3622
Practice Address - Country:US
Practice Address - Phone:610-409-9880
Practice Address - Fax:610-409-9895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty