Bioesthetic Dentistry, Inc

Organization Active NPI General Practice Dentistry · Devon, PA

NPI 1013962323 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1013962323
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
DSO27317L (PA)
Legal business name
BIOESTHETIC DENTISTRY, INC
Practice address
227 W Lancaster Ave
Suite 201
Devon, PA 19333-1555
Phone
(610) 688-4100
Fax
(610) 995-0501
NPI assigned
May 24, 2006
Organization subpart
No

Authorized official

Name
Dr. Michael V Brogna, DMD,FAGD
Title
Owner
Phone
(610) 688-4100

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Bensalem Dental Group (2 organizations share this tax ID)

Locations

227 W Lancaster Ave
Ste 201
Devon, PA 19333
Phone (610) 688-4100

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X DSO27317L PA Yes

Addresses

Primary practice location

227 W Lancaster Ave
Suite 201
Devon, PA 19333-1555

Mailing address

227 W Lancaster Ave
Suite 201
Devon, PA 19333-1555
Phone (610) 688-4100

Other providers in Devon, PA

All providers in Devon, PA · General Practice Dentistry in Pennsylvania

Sources for this page

Verify at the official NPI Registry.