Andrew Stephen Prousi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS019691L Issued in PA

Practice address

658 Levering St
Blue Bell, PA 19422-1874

Phone

(215) 470-8662

NPI assigned

Apr 9, 2025

Last updated

Apr 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1467246801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 LEVERING ST",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221874",
            "telephone_number": "215-470-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 LEVERING ST",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221874",
            "telephone_number": "215-470-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROUSI",
        "first_name": "ANDREW",
        "middle_name": "STEPHEN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS019691L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Igor Porotov, M.D.
• Mark A Posner, MD
• Brigette Potgieter, LCSW
• Sahar Pourshahriari, OD
• Julia Principato
• Provision Eye Associates
• Pantelis P Psillos, O.D.
• Meredith Puente
• Pulaski Family and Cosmetic Dentistry, LLC (Pulaski Dental)
• Mary Lynn Puleo, DMD

• General Practice Dentistry in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.