Mersad Hoorfar, D.M.D
Individual provider Active NPI Dentist · Limerick, PA
NPI 1245448489 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1245448489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS029513L (PA)
- Practice address
- 13 Kugler Rd
Limerick, PA 19468-1484 - Phone
- (610) 495-6500
- NPI assigned
- May 20, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS029513L | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Ridge Dental Associates LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS029513L | PA | Yes |
Addresses
Primary practice location
13 Kugler Rd
Limerick, PA 19468-1484
Mailing address
711 Providence Rd
Malvern, PA 19355-3413
Other providers in Limerick, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.