Specialty Dental Partners of Philadelphia PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SPECIALTY DENTAL PARTNERS OF PHILADELPHIA PLLC

Doing business as

Rich Ortodontics

Practice address

2300 Computer Rd Ste L62
Willow Grove, PA 19090-1739

Phone

(215) 618-8798

Fax

(215) 383-0115

NPI assigned

Jan 27, 2016

Organization subpart

Yes

Parent organization

SPECIALTY DENTAL PARTNERS OF PHILADELPHIA PLLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rosa Lesso

Title

National Director of RCM

Phone

(714) 571-3471

Specialties & licenses 1

Addresses

Other names 1

• Rich Ortodontics Doing business as

Part of

Specialty Dental Partners of Philadelphia PLLC

Locations

Practitioners 1

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

• Omar Elnabawi, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Philadelphia, PA
  • NPI 1790271195
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1114384799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 4TH ST N STE 201",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013889",
            "telephone_number": "727-800-8026",
            "fax_number": "727-304-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 COMPUTER RD STE L62",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901739",
            "telephone_number": "215-618-8798",
            "fax_number": "215-383-0115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 Welsh Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "North Wales",
            "state": "PA",
            "postal_code": "194542053",
            "country_code": "US",
            "telephone_number": "215-618-8798",
            "fax_number": "215-383-0115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 S Broad St Ste 1530",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191101026",
            "country_code": "US",
            "telephone_number": "215-618-8798",
            "fax_number": "215-383-0115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "370 Middletown Blvd Ste 509",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471840",
            "country_code": "US",
            "telephone_number": "215-618-8798",
            "fax_number": "215-383-0115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3554 Hulmeville Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Bensalem",
            "state": "PA",
            "postal_code": "190204366",
            "country_code": "US",
            "telephone_number": "215-618-8798",
            "fax_number": "215-383-0115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8701 W Chester Pike Ste B",
            "address_purpose": "LOCATION",
            "city": "Upper Darby",
            "state": "PA",
            "postal_code": "190821236",
            "country_code": "US",
            "telephone_number": "215-618-8798",
            "fax_number": "215-383-0115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECIALTY DENTAL PARTNERS OF PHILADELPHIA PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECIALTY DENTAL PARTNERS OF PHILADELPHIA PLLC",
        "enumeration_date": "2016-01-27",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "LESSO",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "NATIONAL DIRECTOR OF RCM",
        "authorized_official_telephone_number": "714-571-3471"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rich Ortodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry Jordan Snyder, LPC
• Jennifer Deeney Sock, M.D.
• Marisa Angelita Solis
• Rui Song, MD
• Sound Advice Consultants
• Brianne Spellman
• Jennifer Adele St. George, PT
• John M Stack, MD
• Eleanor Irene Stanford, CRNA
• Karen Starner, L.M.F.T.

• Orthodontics and Dentofacial Orthopedics Dentistry in Willow Grove, PA
• Providers in Willow Grove, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.