Provider Demographics
NPI:1942017983
Name:URBAN DENTAL OF BENSALEM PC
Entity type:Organization
Organization Name:URBAN DENTAL OF BENSALEM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAVLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:THIND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:215-602-7200
Mailing Address - Street 1:1338 BRISTOL PIKE STE 106
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-5679
Mailing Address - Country:US
Mailing Address - Phone:215-602-7200
Mailing Address - Fax:267-285-1924
Practice Address - Street 1:1338 BRISTOL PIKE STE 106
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-5679
Practice Address - Country:US
Practice Address - Phone:215-602-7200
Practice Address - Fax:267-285-1924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty