Provider Demographics
NPI:1174926752
Name:OROZCODONTICS, PC
Entity type:Organization
Organization Name:OROZCODONTICS, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ABBEY
Authorized Official - Middle Name:SULLIVAN
Authorized Official - Last Name:OROZCO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-220-3777
Mailing Address - Street 1:8705 GERMANTOWN AVE
Mailing Address - Street 2:STE A
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118-2720
Mailing Address - Country:US
Mailing Address - Phone:215-220-3778
Mailing Address - Fax:267-368-6031
Practice Address - Street 1:8705 GERMANTOWN AVE
Practice Address - Street 2:STE A
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-2720
Practice Address - Country:US
Practice Address - Phone:215-220-3778
Practice Address - Fax:267-368-6031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-26
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0372071223X0400X
PADS0372081223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty