DR. MICHAEL L. EISENBROCK (NPI# 1275605339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275605339 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL L. EISENBROCK |
| Credential | D.D.S. |
| Practice Address |
3554 Hulmeville Rd Suite 111 Bensalem PA 19020-4366 |
| Practice Telephone | 2156389952 |
| Practice Fax Number | 2156381175 |
| Mailing Telephone | 2156389952 |
| Mailing Fax Number | 2156381175 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2017-04-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS019531L | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | TAX ID | 232209954 | 01 |
| PA | UNITED CONCORDIA PROVIDER | 103205 | 01 |
| PA | LICENSE NUMBER | DS019531L | 01 |
| Street Address |
3554 HULMEVILLE RD SUITE 111 |
| City | BENSALEM |
| State | PA |
| Zip Code | 19020-4366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144200593 | Vincent Larosa | Legal Medicine | 3554 Hulmeville Rd, Suite 101, Bensalem, PA 19020-4366 | 2006-01-20 |
| 1649720863 | Foot and Ankle Specialists of Bucks County, LLC | Podiatrist | 3554 Hulmeville Rd, Suite 104, Bensalem, PA 19020-4366 | 2016-10-12 |
| 1487024964 | Hulmeville Rd Pharmacy Inc | Pharmacy | 3554 Hulmeville Rd, Suite 108, Bensalem, PA 19020-4366 | 2015-09-28 |
| 1962895706 | Anu Nellissery | Dentist | 3554 Hulmeville Rd, Suite 110, Bensalem, PA 19020-4366 | 2015-03-17 |
| 1932459914 | Dedicated Doctors, P.C. | Family Medicine | 3554 Hulmeville Rd, Suite 103, Bensalem, PA 19020-4366 | 2012-09-17 |
| 1003119314 | Elizabeth Mary O'brien | Physician Assistant | 3554 Hulmeville Rd, Suite 103, Bensalem, PA 19020-4366 | 2010-12-08 |
| 1891003224 | Lauren Busfield | Social Worker | 3554 Hulmeville Rd, Bensalem, PA 19020-4366 | 2010-09-20 |
| 1053631689 | Fountain Health Inc. | Psychiatry & Neurology | 3554 Hulmeville Rd, Suite 108, Bensalem, PA 19020-4366 | 2010-06-05 |
| 1558697201 | Rich Orthodontics, LLC | Dentist | 3554 Hulmeville Rd, 110, Bensalem, PA 19020-4366 | 2009-10-29 |
| 1063673317 | Brittania Jennings Lee | Family Medicine | 3554 Hulmeville Rd, Suite 103, Bensalem, PA 19020-4366 | 2008-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124580998 | Smart Choice Pharmacy | Pharmacy | 1941 Street Road, Bensalem, PA 19020 | 2019-04-02 |
| 1275072910 | Sakina Shakir | Physical Therapist | 449 High Rd, Apt B2, Bensalem, PA 19020 | 2017-02-14 |
| 1699211755 | Kevin Maness | Social Worker | 4833 Hulmeville Rd., Bensalem, PA 19020 | 2017-01-13 |
| 1134583545 | Ashley Perrone | Marriage & Family Therapist | 501 Cambria Ave., Suite #113, Bensalem, PA 19020 | 2016-04-12 |
| 1720464720 | Amanda Morton | Specialist/Technologist | 1851 Adler Road, Bensalem, PA 19020 | 2015-08-03 |
| 1205241551 | Nane Baluyan | Dentist | 3200 Bristol Rd, Bensalem, PA 19020 | 2014-06-25 |
| 1972915247 | Outstanding Homecare Solutions LLC | Home Health | 3010 Bristal Pike, 1-102d, Bensalem, PA 19020 | 2014-05-21 |
| 1164841789 | Daria M. Kemp | Dermatology | 1950 Street Rd Ste 100, Bensalem, PA 19020 | 2014-04-10 |
| 1043638000 | Angelo Paul Savelloni | Podiatrist | 3554 Hulmeville Rd Ste 104, Bensalem, PA 19020 | 2014-04-06 |
| 1801214754 | Horace Macvaugh IIi | Dermatology | 2813 Bristol Pike, Capri Clinic, Bensalem, PA 19020 | 2014-03-28 |
| Find all providers in zip 19020 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730739608 | Woodhaven Ultimate Dental Pllc | Dentist | 1 Woodhaven Mall Ste 106, Bensalem, PA 19020-5609 | 2019-09-12 |
| 1053969113 | Bhumica Patel | Dentist | 1950 Street Rd Ste 200, Bensalem, PA 19020-3750 | 2019-08-30 |
| 1376083717 | Advance Cosmetic and General Dentistry LLC | Dentist | 3455 Street Rd, Stoc#6, Bensalem, PA 19020-1542 | 2017-03-05 |
| 1205241551 | Nane Baluyan | Dentist | 3200 Bristol Rd, Bensalem, PA 19020 | 2014-06-25 |
| 1871924480 | George Bilalis | Dentist | 2684 Mechanicsville Rd, Bensalem, PA 19020-2625 | 2013-12-06 |
| 1902157100 | Elizabeth Paulkate Vaidyan | Dentist | 2637 Woodsview Dr, Bensalem, PA 19020-6013 | 2012-09-27 |
| 1710286877 | Charles J Rigau | Dentist | 2851 Knights Rd., Bensalem, PA 19020 | 2011-03-15 |
| 1649293457 | Steven Goldenberg | Dentist | 1044 Byberry Rd, Bensalem, PA 19020-3922 | 2006-07-25 |
| 1043297336 | Mukund K Patel Dds PC | Dentist | 2776 Knights Rd, Bensalem, PA 19020 | 2005-12-28 |
| 1093331605 | Maria Oei | Dentist | 670 Rockhill Dr, Bensalem, PA 19020-1626 | 2020-06-19 |
| Find all providers in BENSALEM | ||||
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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.