# ADVANCED DENTISTRY OF COLLEGEVILLE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Dentistry of Collegeville PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548415243
- **Authorized official:** DR. EME NELLY SILVA DMD (DENTIST)
- **Authorized official phone:** (610) 489-5555

## Contact information

- **Practice address:** 399 ARCOLA RD, SUITE 100, COLLEGEVILLE, PA 19426-3906
- **Practice address phone:** (610) 489-5555
- **Practice address fax:** (610) 489-5163
- **Mailing address:** 399 ARCOLA RD, SUITE 100, COLLEGEVILLE, PA 19426-3906
- **Mailing address phone:** (610) 489-5555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0004X | Dental Anesthesiology | — | NULL | — |
| 1223D0004X | Dental Anesthesiology | — | — | — |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 124Q00000X | Dental Hygienist | — | NULL | — |
| 124Q00000X | Dental Hygienist | — | — | — |
| 305S00000X | Point of Service | DS036175 | PA | — |
| 332BC3200X | Customized Equipment (DME) | DS036175 | PA | — |

## Other

- **Enumeration date:** 11/21/2008
- **Last updated:** 08/19/2013