Dental Implant Studio of Montgomery PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL IMPLANT STUDIO OF MONTGOMERY PC

Practice address

2874 Ridge Pike
Eagleville, PA 19403-1590

Phone

(484) 963-4766

NPI assigned

Sep 26, 2022

Last updated

Sep 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nil Dhanani

Title

Owner

Phone

(484) 963-4766

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1336862176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2489 WELLINGTON WAY",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194401489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2874 RIDGE PIKE",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "194031590",
            "telephone_number": "484-963-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL IMPLANT STUDIO OF MONTGOMERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "DHANANI",
        "authorized_official_first_name": "NIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-963-4766"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annemarie Convey
• Elizabeth Ann Corsi, RPH, PHARM D
• Cosmetic Family Dentistry (Linh nguyen & Nicholas vo Gen Ptr)
• Kelly Ann Crawford, OTR/L
• Jena L Crea
• Amanda Beth Derrick, M.S.O.T.
• Ashley Diienno, DPT
• Debra Jane Dill
• Sharlee Dischert
• DME Solutions, Inc.

• Dental Clinic/Center in Eagleville, PA
• Providers in Eagleville, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.