Organization
PENN PREMIER DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRAM SHAMLOO DMD (VICE PRESIDENT)
(610) 363-5810
Entity
Organization
Contact information
Practice address
194 EXTON SQUARE MALL, EXTON, PA 19341-2440
(610) 363-5810
(610) 594-0667
Mailing address
194 EXTON SQUARE MALL, EXTON, PA 19341-2440
(610) 363-5810
(610) 594-0667
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS036832
PA
122300000X
Dentist
Primary
DS036955
PA
122300000X
Dentist
DS037059
PA
122300000X
Dentist
DS037327
PA
1223E0200X
Endodontics
DS037059
PA
1223P0221X
Pediatric Dentistry
DS023283Y
PA
1223P0300X
Periodontics
DS036138
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DS036830
PA
Other
Enumeration date
10/30/2008
Last updated
03/09/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us