NPI 1558656124

Prime Time Dental

Organisation Preferred Provider Organization Norristown, PA

Practice location

Address: 1548 Dekalb St, Norristown, PA 19401-3425
Phone: (610) 277-7645
Fax: (610) 277-7644

Authorised official

Name: Bob Sulimanov
Title: Manager
Phone: (610) 277-7645

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 00389NO07133833 (PA)

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Registry record

NPI: 1558656124
Entity type: Organization
NPI issued: 12 Jun 2011
Record last updated: 26 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.