Tauseef Mutwahir, DMD
Individual provider Active NPI General Practice Dentistry · Spring House, PA
NPI 1740632561 · NPPES record last updated Dec 18, 2017
Key facts
- NPI
- 1740632561
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS 040829 (PA)
- Practice address
- 909 Sumneytown Pike
Suite 101
Spring House, PA 19477-1011 - Phone
- (215) 643-5220
- Fax
- (215) 643-3575
- NPI assigned
- Jul 5, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171205001642 | PA | Practitioner - General Practice | 6901163708 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS 040829 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silvana Cumani DMD and Associates PC | General Practice | Current |
Accepting new patients |
| Neosmile Dental Care PC | General Practice | Past | Accepting new patients |
| Hoorfar Dental Group Spring House LLC | Past | Accepting new patients |
Locations
2675 E Cumberland St
Philadelphia, PA 19125
Phone (215) 426-7307
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS 040829 | PA | Yes |
Addresses
Primary practice location
909 Sumneytown Pike
Suite 101
Spring House, PA 19477-1011
Mailing address
909 Sumneytown Pike
Suite 101
Spring House, PA 19477-1011
Phone (215) 643-5220
Other providers in Spring House, PA
- Terry L Merkle
- Jennifer Ann Minnick
- Brian Moran
- Muldoon-Fitz Enterprises Inc
- Muldoon-Fitz Enterprises Inc
- Namaste Rehab Clinics LLC
- Barry Kenneth Nelson
- Neosmile Dental Care PC
- Otto Bock Orthopedic Services LLC
- Rifat Pamukcu
All providers in Spring House, 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 Dec 18, 2017. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.