Bruce J Cutilli, D.M.D.
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Spring House, PA
NPI 1083671515 · NPPES record last updated Sep 18, 2014
Key facts
- NPI
- 1083671515
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- DS025175L (PA)
- Practice address
- 809 N Bethlehem Pike
Spring House, PA 19477-0857 - Phone
- (215) 591-9354
- Fax
- (215) 591-9356
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161217000156 | PA | Order and Referring Only - Oral Surgery |
2466419791 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS025175L | PA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce J Cutilli Oral & Maxillofacial Surgery | Oral and Maxillofacial Surgery | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS025175L | PA | Yes |
Addresses
Primary practice location
809 N Bethlehem Pike
Spring House, PA 19477-0857
Mailing address
809 N Bethlehem Pike
PO Box 857
Spring House, PA 19477-0857
Phone (215) 591-9354
Other providers in Spring House, PA
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- Michael Brady Clark
- Clinical Colleagues Inc
- Shari Colibraro
- William J D'Andrea
- David I. Beller DDS LLC
- Patricia Decawski
- Linda Leigh Earnshaw
- Germin Farag
All providers in Spring House, PA · Oral and Maxillofacial Surgery (Dentist) in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.