Amen Dhyllon, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS038245 Issued in PA

Practice address

301 E City Line Ave
Suite G3
Bala Cynwyd, PA 19004-1708

Phone

(610) 660-9510

Fax

(610) 660-9512

NPI assigned

Oct 22, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Smiles Art Inc

  • Dentist
  • Philadelphia, PA
  • NPI 1356869960
  NPD Authorized official
• Artistic Smile LLC

  • Dentist
  • Philadelphia, PA
  • NPI 1447869235
  NPD

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1437459609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE DR",
            "address_2": "SUITE 108",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342714",
            "telephone_number": "215-550-7186",
            "fax_number": "215-646-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CITY LINE AVE",
            "address_2": "SUITE G3",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041708",
            "telephone_number": "610-660-9510",
            "fax_number": "610-660-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHYLLON",
        "first_name": "AMEN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-22",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038245",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS038245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delaware Valley Medical Management
• Lindsey Ann Delcarlino
• Kevin Deley
• Chris Gus Dematatis, CHRIS DEMATATIS
• Christopher Deussing, L.C.S.W.
• Ralph J Di Giovanni Jr., M.D.
• Dianne Dietitian Co.
• Brittni Diarra, BCBA
• Howard Dichter, MD.
• Frank Alan Dickerman, D.D.S.

• Orthodontics and Dentofacial Orthopedics Dentistry in Bala Cynwyd, PA
• Providers in Bala Cynwyd, 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 Mar 22, 2018; 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.