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Organization
NORTH PENN ENDODONTICS LTD II
Active
Organization
NORTH PENN ENDODONTICS LTD II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL LARRY BALICK DDS (PRESIDENT)
(215) 855-1173
Entity
Organization
Contact information
Practice address
2100 N BROAD STREET, SUITE 201, LANSDALE, PA 19446
(215) 855-1173
(215) 855-1936
Mailing address
2100 N BROAD STREET, SUITE 201, LANSDALE, PA 19446
(215) 855-1173
(215) 855-1936
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054393
BLUE SHIELD
—
01
—
113237
CIGNA
—
01
—
1560
AETNA DMO
—
01
—
89839
AETNA
—
Enumeration date
07/15/2006
Last updated
08/22/2020
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