Evan R Eisler, DMD
Individual provider Active NPI General Practice Dentistry · Narberth, PA
NPI 1487035671 · NPPES record last updated Oct 24, 2025
Key facts
- NPI
- 1487035671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 22DI02630700 (NJ)
- Practice address
- 632 Montgomery Ave Ste 2
Narberth, PA 19072-2000 - Phone
- (610) 664-6061
- Fax
- (610) 664-5293
- NPI assigned
- Jun 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 11, 2022 through Oct 11, 2026
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02630700 | NJ | MD | General Practice Dentistry |
| DS040705 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennington Dental Associates LLC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS040705 | PA | |
| General Practice Dentistry | 1223G0001X | 22DI02630700 | NJ | Yes |
Addresses
Primary practice location
632 Montgomery Ave Ste 2
Narberth, PA 19072-2000
Mailing address
632 Montgomery Ave Ste 2
Narberth, PA 19072-2000
Phone (610) 664-6061
Other providers in Narberth, PA
- Sarah Dougherty
- Dr Siwy Podiatry Associates PLLC
- Durable Medical Solutions, LLC
- Hannah Edwards
- Anne Egler
- Elite Function Physical Therapy LLC
- Ryan Ellenbaum
- Essex Dental Care Health Corp
- Essex Dental, Community First Care
- Eternally PC
All providers in Narberth, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.