COLLINGDALE DENTAL ASSOCIATES NPI 1124521646

NPI Information

  • NPI: 1124521646
  • Provider Name: COLLINGDALE DENTAL ASSOCIATES
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • CLIA Number: 39D1067594
  • Address: 224 CLIFTON AVE
    COLLINGDALE, PA
    ZIP 19023
  • Phone: (610) 583-3454

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NPI Details

COLLINGDALE DENTAL ASSOCIATES is a general practice dentist in Collingdale, PA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. COLLINGDALE DENTAL ASSOCIATES NPI is 1124521646. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

224 CLIFTON AVE
COLLINGDALE, PA
ZIP 19023-712
Phone: (610) 583-3454

The provider's authorized official is Aakash C Mudaliar .
The authorized official title is Vice President and has the following contact phone number (570) 309-8223.

The CLIA number assigned to this NPI record is 39D1067594 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/11/2018 and was last updated on 3/11/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDS038564PENNSYLVANIAYes
2261QD0000XClinic/CenterDentalDS041461PENNSYLVANIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DS038564OTHERPENNSYLVANIAPENNSYLVANIA STATE BOARD OF DENTISTRY
2DS041461OTHERPENNSYLVANIAPENNSYLVANIA STATE BOARD OF DENTISTRY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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