Edward L. Woehling, D.D.S.

Individual provider Active NPI Periodontics · Rosemont, PA

NPI 1124249750 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124249750
Entity type
Individual (NPI type 1)
Primary specialty
Periodontics 1223P0300X
License
DS019952-L (PA)
Practice address
1201 County Line Rd.
Suite 201
Rosemont, PA 19010-2636
Phone
(610) 525-8485
Fax
(610) 525-8602
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
DS019952-LPAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Bryn Mawr Periodontal Associates PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DS019952-L PA Yes

Addresses

Primary practice location

1201 County Line Rd.
Suite 201
Rosemont, PA 19010-2636

Mailing address

1201 County Line Rd.
Suite 201
Rosemont, PA 19010-2636
Phone (610) 525-8485

Other providers in Rosemont, PA

All providers in Rosemont, PA · Periodontics in Pennsylvania

Sources for this page

Verify at the official NPI Registry.