Joseph A Ilacqua, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

DS022706L Issued in PA

Practice address

2603 Dekalb Pike
Norristown, PA 19401

Phone

(610) 275-0500

Fax

(610) 275-1054

NPI assigned

Jul 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Brian R Haber DDS & Joseph a Ilacqua DDS PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Norristown, PA
  • NPI 1093732000
  NPD (past) Authorized official
• Delaware Valley Oral & Maxillofacial Surgical Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Norristown, PA
  • NPI 1760792766
  NPD (past) Authorized official
• Maxilla LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Collegeville, PA
  • NPI 1942082250
  NPD
• Penna Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Bryn Mawr, PA
  • NPI 1790786317
  NPD

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1396762308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 DEKALB PIKE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "19401",
            "telephone_number": "610-275-0500",
            "fax_number": "610-275-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 DEKALB PIKE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "19401",
            "telephone_number": "610-275-0500",
            "fax_number": "610-275-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILACQUA",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "PA",
            "license": "DS022706L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Hurd
• Megan Robinson Huwe, PA-C
• Franco Luc Huynh, PT, DPT
• Nassef Ibrahim, DO
• Ihp PA Emergency Medicine PLLC
• Michael Hunter Inforzato, PTA
• Megan Elizabeth Ingraham, PHD
• International Medical Systems Inc.
• Rachel Isackman, PT, DPT
• Ivory Wellness Center LLC (Ivory Wellness Center)

• Oral & Maxillofacial Surgery (D.M.D.) in Norristown, PA
• Providers in Norristown, PA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.