DIRECT MOBILE DENTAL SERVICES, INC. (NPI# 1699809954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699809954 |
| Entity Type | Organization |
| Organization Name | DIRECT MOBILE DENTAL SERVICES, INC. |
| Practice Address |
147 Montgomery Ave Bala Cynwyd PA 19004-2827 |
| Practice Telephone | 6106647795 |
| Practice Fax Number | 6106674373 |
| Mailing Telephone | 6106647795 |
| Mailing Fax Number | 6106674373 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-12-07 |
| Authorized Official Name | DR. STEVEN MELMAN (PRESIDENT) |
| Authorized Official Telephone | 6106647795 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS024882L | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669005237 | Direct Mobile Dental Services, Inc. | Clinic/Center | 141 Montgomery Ave Fl 2, Bala Cynwyd, PA 19004-2827 | 2020-02-21 |
| Street Address |
147 MONTGOMERY AVE |
| City | BALA CYNWYD |
| State | PA |
| Zip Code | 19004-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154453678 | Daryl Klopp | Dentist | 147 Montgomery Ave, Bala Cynwyd, PA 19004-2827 | 2007-03-10 |
| 1336273036 | Steven Melman | Dentist | 147 Montgomery Ave, Bala Cynwyd, PA 19004-2827 | 2007-03-15 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636087 | Clark Dental Associates, LLC | Dentist | 7 Bala Ave Ste 301, Bala Cynwyd, PA 19004-3205 | 2020-10-14 |
| 1871154203 | Ilvain Hechavarria Sanchez | Dentist | 301 E City Ave Ste G5, Bala Cynwyd, PA 19004-1707 | 2019-06-26 |
| 1528559291 | Anita Zager Dmd Pllc | Dentist | 141 Montgomery Ave, Bala Cynwyd, PA 19004-2827 | 2018-05-29 |
| 1235419565 | Christine Pereira | Dentist | 187 W City Ave, Bala Cynwyd, PA 19004-3102 | 2011-08-18 |
| 1689961765 | Cassio Castro | Dentist | 147 Montgomery Avenue, Bala Cynwyd, PA 19004 | 2011-07-08 |
| 1265745681 | Bahman Sanikhatam | Dentist | 125 W City Ave, Bala Cynwyd, PA 19004-3103 | 2010-07-15 |
| 1124266820 | Jodi J Jasionowicz | Dentist | 5 E Amherst Rd, Bala Cynwyd, PA 19004-2206 | 2009-02-03 |
| 1295937779 | Andras G Haris | Dentist | 101 Bala Ave, Bala Cynwyd, PA 19004-3307 | 2007-06-05 |
| 1316153406 | Frederick S. Perez | Dentist | 237 Old Lancaster Rd, Bala Cynwyd, PA 19004-2932 | 2007-05-15 |
| 1154453678 | Daryl Klopp | Dentist | 147 Montgomery Ave, Bala Cynwyd, PA 19004-2827 | 2007-03-10 |
| Find all providers in BALA CYNWYD | ||||
| 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.