Organization
BROAD STREET BRACES
Active
Organization
BROAD STREET BRACES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL UFFNER D.M.D, M.S. (ORTHODONTIST, OWNDER)
(201) 452-9270
Entity
Organization
Contact information
Practice address
2010 S JUNIPER ST, PHILADELPHIA, PA 19148-5509
(201) 452-9270
Mailing address
2010 S JUNIPER ST, PHILADELPHIA, PA 19148-5509
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS039143
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028648360001
—
PA
Enumeration date
06/06/2016
Last updated
06/06/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up