BALA INSTITUTE OF ORAL SURGERY (NPI# 1477567782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477567782 |
| Entity Type | Organization |
| Organization Name | BALA INSTITUTE OF ORAL SURGERY |
| Practice Address |
15 Presidential Blvd Suite 301 Bala Cynwyd PA 19004-1006 |
| Mailing Address |
15 N Presidential Boulevard Suite 301 Bala Cynwyd PA 19004 |
| Practice Telephone | 6106676161 |
| Practice Fax Number | 6106179275 |
| Mailing Telephone | 6106676161 |
| Mailing Fax Number | 6106179275 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2007-12-14 |
| Authorized Official Name | DR. MANSOOR MADANI (OWNER) |
| Authorized Official Telephone | 6106676161 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS023126L | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AETNA | 3776353 | 01 |
| PA | HIGHMARK | MA172847 | 01 |
| PA | UNITED CONCORDIA | 1610569 | 01 |
| PA | BLUE SHIELD | 172847 | 01 |
| PA | BLUE SHIELD | 1610569 | 01 |
| Street Address |
15 PRESIDENTIAL BLVD SUITE 301 |
| City | BALA CYNWYD |
| State | PA |
| Zip Code | 19004-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144212879 | Wieslaw K. Prokop | Anesthesiology | 15 Presidential Blvd, Suite 100, Bala Cynwyd, PA 19004-1000 | 2005-08-18 |
| 1689976029 | Thomas J. Gerbner, Ph.d., Inc. | Psychologist | 15 Presidential Blvd, Suite 202, Bala Cynwyd, PA 19004-1006 | 2010-11-17 |
| 1437464773 | Emily F Pollard Md PC | Surgery | 15 Presidential Blvd, Suite 102, Bala Cynwyd, PA 19004-1006 | 2010-08-11 |
| 1174850903 | Zaki S Ftaiha | Plastic Surgery | 15 Presidential Blvd, Suite 200, Bala Cynwyd, PA 19004-1006 | 2009-11-16 |
| 1437383973 | Philadelphia Cosmetic Surgery Center | Plastic Surgery | 15 Presidential Blvd, Suite 200, Bala Cynwyd, PA 19004-1006 | 2009-05-12 |
| 1124209408 | Hamida Shirazy | Dentist | 15 Presidential Blvd, Suite#303, Bala Cynwyd, PA 19004-1006 | 2007-11-15 |
| 1083836712 | Thomas J. Gerbner | Psychologist | 15 Presidential Blvd, Suite 202, Bala Cynwyd, PA 19004-1006 | 2007-05-03 |
| 1205977402 | David Jacob Weinstock | Dentist | 15 Presidential Blvd, Suite 201, Bala Cynwyd, PA 19004-1006 | 2007-02-09 |
| 1235298472 | Ranti Aryani | Dentist | 15 Presidential Blvd, 303, Bala Cynwyd, PA 19004-1006 | 2006-12-06 |
| 1063582559 | Agata Lewkowska | Dentist | 15 Presidential Blvd, Suite #303, Bala Cynwyd, PA 19004-1006 | 2006-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707819 | Katherine Lesher | Psychologist | 2 Bala Plaza Pl-13, Bala Plaza, PA 19004 | 2020-07-16 |
| 1144749342 | Apthcs | In Home Supportive Care | 150 Monument Road Suite 207, Bala Cynwyd, PA 19004 | 2017-09-19 |
| 1508389222 | Miriam Ray | Social Worker | 15 Montgomery Ave Apt 2b, Bala Cynwyd, PA 19004 | 2017-07-25 |
| 1003363235 | Catherine Kazanjian | Nurse Practitioner | 333 E City Ave Ste Il27, Bala Cynwyd, PA 19004 | 2016-09-06 |
| 1295181717 | Ruth Sampson-pilgrim | Nurse Practitioner | 160 Rock Hill Road, Vista Medical Services, Balacynwood, PA 19004 | 2016-05-13 |
| 1902252414 | Nurse Plus Home Care Agency,llc | In Home Supportive Care | Two Bala Plaza, Pmb #516, Suite 300, Bala Cynwyd, PA 19004 | 2016-05-13 |
| 1386010999 | Joan Lyall | Speech-Language Pathologist | 113 Ashland Avenue, Bala Cynwyd, PA 19004 | 2015-08-18 |
| 1922349158 | May W. Lee | Pediatrics | 130 E. Levering Mill Road, Bala Cynwyd, PA 19004 | 2013-03-13 |
| 1023362423 | Justin Carl Lavo | Physical Therapist | 100 Presidental Boulevard, Bala Cynwyd, PA 19004 | 2012-11-07 |
| 1689961765 | Cassio Castro | Dentist | 147 Montgomery Avenue, Bala Cynwyd, PA 19004 | 2011-07-08 |
| Find all providers in zip 19004 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074037 | Kingsbury Oral and Maxillofacial Surgery, PC | Dentist | 1 Presidential Blvd Ste 207, Bala Cynwyd, PA 19004-1007 | 2020-08-17 |
| 1700945938 | Anthony Farole | Dentist | 2 Bala Plz, Suite Il-25, Bala Cynwyd, PA 19004-1501 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183990 | Always Precision Dental PC | Dentist | 1023 King Way, Breinigsville, PA 18031-1482 | 2020-08-02 |
| 1447874490 | Peace Dental Associates | Dentist | 35 S 2nd Ave, Clarion, PA 16214-1934 | 2020-06-05 |
| 1528689270 | New Hope Oral Surgery and Implant Center | Dentist | 6660 Old York Rd, New Hope, PA 18938 | 2020-05-05 |
| 1942831904 | Eagles Oral Surgery | Dentist | 525 W Main St Ste 11, Trappe, PA 19426-1923 | 2020-01-29 |
| 1104466028 | Keystone Oral and Maxillofacial Surgery, P.C. | Dentist | 560 Rugh St Ste 100, Greensburg, PA 15601-5601 | 2020-01-08 |
| 1245889740 | Oral & Facial Surgery of Pittsburgh, P.C. | Dentist | 180 Swinderman Rd Ste 260, Wexford, PA 15090-5620 | 2019-09-06 |
| 1528626124 | Christopher Yi | Dentist | 900 Walnut St Rm 300, Philadelphia, PA 19107-5191 | 2019-05-30 |
| 1275091886 | Gary M Carmassi Dmd | Dentist | 8650 Babcock Blvd Ste 3, Pittsburgh, PA 15237-5009 | 2019-03-04 |
| 1073093233 | Ban Oral and Facial Surgical Associates LLC | Dentist | 4725 Mcknight Rd Ste 209, Pittsburgh, PA 15237-3414 | 2018-08-17 |
| 1962942771 | American Management Group | Dentist | 3900 City Avenue Apt W1101, Philadelphia, PA 19131 | 2017-02-27 |
| Find all providers with the same taxonomy | ||||
| City | BALA CYNWYD |
| Zip Code | 19004 |
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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.