IMPLANT DENTISTRY ASSOCIATES P.C. NPI 1417293739

NPI Information

  • NPI: 1417293739
  • Provider Name: IMPLANT DENTISTRY ASSOCIATES P.C.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 234 MALL BLVD
    SUITE 180
    KING OF PRUSSIA, PA
    ZIP 19406
  • Phone: (484) 231-1177

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NPI Details

IMPLANT DENTISTRY ASSOCIATES P.C. is an oral and maxillofacial surgery dentist in King Of Prussia, PA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. IMPLANT DENTISTRY ASSOCIATES P.C. NPI is 1417293739. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

234 MALL BLVD
SUITE 180
KING OF PRUSSIA, PA
ZIP 19406-954
Phone: (484) 231-1177
Fax: (484) 231-8964

The provider's authorized official is Clifford Gratz .
The authorized official title is Manager and has the following contact phone number (484) 231-1177.

The enumeration date for this NPI number is 12/13/2012 and was last updated on 12/17/2012.

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
11223P0700XDentistProsthodonticsDS027440LPENNSYLVANIANo
21223P0300XDentistPeriodonticsDS024390LPENNSYLVANIANo
31223S0112XDentistOral and Maxillofacial SurgeryDS035811LPENNSYLVANIAYes

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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