Organization
AMERI DENTAL GROUP P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMISH PATEL D.M.D (OWNER)
(484) 494-3300
Entity
Organization
Contact information
Practice address
875 MAIN ST, DARBY, PA 19023-2105
(484) 494-3300
(484) 494-5738
Mailing address
875 MAIN ST, DARBY, PA 19023-2105
(484) 494-3300
(484) 494-5738
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS036851
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000520323-0002
—
PA
05
—
102274820-00002
—
PA
05
—
102689905-0001
—
PA
Enumeration date
09/21/2012
Last updated
02/05/2015
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