ORTHODONTIC SPECIALISTS OF THE INDIAN VALLEY, PLLC (NPI# 1134642382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134642382 |
| Entity Type | Organization |
| Organization Name | ORTHODONTIC SPECIALISTS OF THE INDIAN VALLEY, PLLC |
| Other Organization Name | ORTHODONTIC SPECIALISTS OF THE INDIAN VALLEY |
| Practice Address |
726 Route 113 Souderton PA 18964-1004 |
| Practice Telephone | (267) 225-8932 |
| Mailing Telephone | 2672258932 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |
| Authorized Official Name | JUSTIN SILVESTRE (OWNER) |
| Authorized Official Telephone | 2672258932 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Orthodontic Specialists of the Indian Valley | Doing Business As Name - Organization |
| Street Address |
726 ROUTE 113 |
| City | SOUDERTON |
| State | PA |
| Zip Code | 18964-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932678406 | James Edward Smith | Physical Therapist | 723 Pa-113 #6, Souderton, PA 18964 | 2018-11-14 |
| 1215436001 | Holcomb Associates, Inc. | Clinic/Center | 139 Harleysville Pike, Souderton, PA 18964 | 2018-02-07 |
| 1013416098 | Holcomb Associates, Inc. | Clinic/Center | 625 Lower Road, Souderton, PA 18964 | 2018-02-06 |
| 1679018733 | New Hope Sports Chiropractic and Wellness LLC | Chiropractor | 327 Mifflin St, Souderton, PA 18964 | 2016-12-28 |
| 1346484540 | Maria M Gilday | Nutritionist | 707 Route 113, Souderton, PA 18964 | 2009-05-01 |
| 1043495906 | Josephine Ward | Physical Therapist | 723 Route 113 Suite 6, Parry Physical Therapy Group, Souderton, PA 18964 | 2008-01-09 |
| 1104036839 | Marc F Lipkin | Dentist | 601 East Broad St, Suite #200, Souderton, PA 18964 | 2007-05-23 |
| 1346392487 | Michael E Kleinman Dmd PC | Dentist | 231 North Main Street, Souderton, PA 18964 | 2007-01-17 |
| 1790799286 | Philip Joseph Bresnahan | Podiatrist | 601 East Broad Street, Suite 220, Souderton, PA 18964 | 2006-07-28 |
| 1568492056 | Mitchel L Abrams | Optometrist | 15 W Garfield Ave, Souderton, PA 18964 | 2006-07-03 |
| Find all providers in zip 18964 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668076 | Kellyn W. Hodges, Dmd, Ms, PC | Dentist | 411 Doylestown Rd Unit D, Montgomeryville, PA 18936-9636 | 2020-10-26 |
| 1871100941 | Micah Yetter | Dentist | 106 Canyon Ct, Latrobe, PA 15650-2504 | 2020-09-23 |
| 1174137293 | Rebecca Nara Lee | Dentist | 1040 Dekalb Pike Ste 100, Blue Bell, PA 19422-1862 | 2020-09-04 |
| 1841809688 | Noor Tarazi | Dentist | 539 Championship Dr, Harleysville, PA 19438-2178 | 2020-07-28 |
| 1023626850 | Orchard of Smiles Orthodontics LLC | Dentist | 1629 Bridgetown Pike, Feasterville Trevose, PA 19053-4218 | 2020-07-17 |
| 1952919177 | Lam Bui | Dentist | 201 N 8th St Unit 413, Philadelphia, PA 19106-1012 | 2020-07-14 |
| 1316560592 | Lakeview Orthodontics Pllc | Dentist | 959 S Township Line Rd Ste G, Royersford, PA 19468-1823 | 2020-05-22 |
| 1598391344 | Sarah Larue | Dentist | 703 Tamarack Dr, Imperial, PA 15126-1156 | 2020-03-12 |
| 1437794047 | Pittsburgh Orthodontic Group | Dentist | 850 Clairton Blvd Ste 3200, Pittsburgh, PA 15236-4585 | 2019-11-07 |
| 1184275299 | Jake M Dorfman Dmd Pllc | Dentist | 345 Knowles Ave Ste 7, Southampton, PA 18966-4191 | 2019-09-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.