# AE ASSOCIATED ENDODONTISTS, P.C

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366568404
- **Authorized official:** CHRISTINE SHAW (DIRECTOR OF REVENUE CYCLE)
- **Authorized official phone:** (781) 562-0457

## Contact information

- **Practice address:** 1 BELMONT AVE STE 316, BALA CYNWYD, PA 19004-1604
- **Practice address phone:** (215) 477-8941
- **Practice address fax:** (215) 477-8943
- **Mailing address:** 500 CHAPMAN ST FL 1, CANTON, MA 02021-2093
- **Mailing address phone:** (781) 562-0457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | DS028139L | PA | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 09/17/2024