KT DENTAL LLC NPI 1235615964

NPI Information

NPI: 1235615964
Provider Name: KT DENTAL LLC

Doing Business As: INNOVATIVE DENTAL HEALTH

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2002 SPROUL RD STE 100
BROOMALL, PA
ZIP 19008
Phone: (610) 325-1670
Get Directions

KT DENTAL LLC is a dental clinic center in Broomall, PA. KT DENTAL LLC NPI is 1235615964. The provider is registered as an organization entity type.
The provider Is Doing Business As Innovative Dental Health.

The provider's business location address is:

2002 SPROUL RD STE 100
BROOMALL, PA
ZIP 19008-510
Phone: (610) 325-1670

The provider's authorized official is Kim L Tran .
The authorized official title is Dentist and has the following contact phone number (610) 325-1670.

The enumeration date for this NPI number is 7/16/2018 and was last updated on 1/5/2021.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »