Prince Ofosu-Mensah, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS037177 Issued in PA

Practice address

640 Snyder Ave
Philadelphia, PA 19148-2419

Phone

(215) 334-4900

Fax

(215) 334-9721

NPI assigned

Oct 9, 2007

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)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: princeofosu.mensah.p1@direct.gpha.nextgenshare.com

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.

• Greater Philadelphia Health Action Inc.

  dba GPHA Southeast Dental Services

  • Dental Clinic/Center
  • Philadelphia, PA
  • NPI 1174685812
  NPD (past)
• Greater Philadelphia Health Action Inc.

  dba GPHA - Snyder Avenue Dental Center

  • Dental Clinic/Center
  • Philadelphia, PA
  • NPI 1760709794
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1568650166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 N 6TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191234004",
            "telephone_number": "215-925-2400",
            "fax_number": "215-925-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 SNYDER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482419",
            "telephone_number": "215-334-4900",
            "fax_number": "215-334-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFOSU-MENSAH",
        "first_name": "PRINCE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Officially Stamped Lab Services
• Paul A Offit, M.D.
• Gill Obiageli Ofoma, CRNP
• Tracy Ofori, NP
• Kobina Ofosu-Donkoh
• Mary K Ogara, LPN
• Tierra R Ogawa Sanders
• Jeffrey Ogbara, MD
• Frewine Ogbaselase, CCC-SLP
• Titilola Ogbeide, CPM

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, 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 4, 2016; 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.