Individual
DR. RUSSEL BLEILER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
360 MIDDLETOWN BLVD, SUITE 406, LANGHORNE, PA 19047-1863
(215) 752-4646
(215) 752-4650
Mailing address
360 MIDDLETOWN BLVD, SUITE 406, LANGHORNE, PA 19047-1863
(215) 752-4646
(215) 752-4650
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS028088L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2653716
AETNA PROVIDER NUMBER
PA
01
—
909146
HIGHMARK PROVIDER NUMBER
PA
Enumeration date
08/01/2006
Last updated
07/08/2007
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