PROVIDENCE ENDODONTICS LLC
NPI 1154548857
Dentist - Endodontics in Oaks, PA

Active since April 20, 2007
450 CRESSON BLVD,, SUITE 303, OAKS, PA 19456(610) 676-9030(610) 676-9032 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Providence Endodontics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE ENDODONTICS LLC (NPI 1154548857) is a healthcare organization registered as an endodontics in Oaks, Pennsylvania and active in the NPI registry since April 2007. The organization lists Meetu Ralli Kohli, Partner, as its authorized official.

NPPES Registry Identity

NPI1154548857
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NamePROVIDENCE ENDODONTICS LLC
Location Address450 CRESSON BLVD,, SUITE 303Oaks, PA 19456-1218
Mailing Address450 Cresson Blvd,, Suite 303, P.o.box 1218Oaks, PA 19456-1218 · (610) 676-9030 · Fax (610) 676-9032
Fax(610) 676-9032
Organization SubpartNo
Authorized OfficialMeetu Ralli KohliPartner · (610) 676-9030
Enumeration DateApril 20, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1154548857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
450 CRESSON BLVD,, Oaks, PA 19456

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Endodontics)
450 CRESSON BLVD,, SUITE 303
OAKS, PA 19456

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Endodontics LLC's NPI number?

The NPI number for Providence Endodontics LLC is 1154548857. It was assigned to this organization in the NPPES registry on April 20, 2007.

Where is Providence Endodontics LLC located?

Providence Endodontics LLC is located at 450 Cresson Blvd, Suite 303, Oaks, PA 19456. The listed phone number is (610) 676-9030.

What is Providence Endodontics LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Providence Endodontics LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.