NPI 1548097124 · live from the CMS NPI Registry
Bala Orthodontics, LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Bala Cynwyd, PA. National Provider Identifier 1548097124, active.
NPI record
| NPI | 1548097124 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1 Belmont Ave Ste 414, Bala Cynwyd, PA 19004 |
| Practice phone | 610-617-0700 |
| Mailing address | 500 Chapman St Fl 1, Canton, MA 02021 |
| Enumerated | September 17, 2024 |
| Last updated | September 17, 2024 |
| Authorized official | Christine Shaw, Director Of Revenue Cycle |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.