TIED MAIN LINE TONGUE TIE PROFESSIONALS.
NPI 1255163341
Dentist - Pediatric Dentistry in Berwyn, PA

Q: What is Tied Main Line Tongue Tie Professionals.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since August 16, 2024

1125 LANCASTER AVE STE 2, BERWYN, PA 19312(610) 557-0252(610) 557-0253 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tied Main Line Tongue Tie Professionals. NPPES

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

TIED MAIN LINE TONGUE TIE PROFESSIONALS. (NPI 1255163341) is a healthcare organization registered as a pediatric dentistry in Berwyn, Pennsylvania and active in the NPI registry since August 2024. The organization lists Jacqueline Palma Wingate, Owner, as its authorized official.

NPPES Registry Identity

NPI1255163341

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameTIED MAIN LINE TONGUE TIE PROFESSIONALS.

Location Address1125 LANCASTER AVE STE 2Berwyn, PA 19312-2601

Mailing Address1125 Lancaster Ave Ste 2Berwyn, PA 19312-2601 · (610) 557-0252 · Fax (610) 557-0253

Phone(610) 557-0252

Fax(610) 557-0253

Organization SubpartNo

Authorized OfficialJacqueline Palma WingateOwner · (610) 557-0252

Enumeration DateAugust 16, 2024

NPPES CertifiedAugust 16, 2024

✔ NPI 1255163341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1125 LANCASTER AVE STE 2, Berwyn, PA 19312

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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

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 Tied Main Line Tongue Tie Professionals.'s NPI number?

The NPI number for Tied Main Line Tongue Tie Professionals. is 1255163341. It was assigned to this organization in the NPPES registry on August 16, 2024.

Where is Tied Main Line Tongue Tie Professionals. located?

Tied Main Line Tongue Tie Professionals. is located at 1125 Lancaster Ave Ste 2, Berwyn, PA 19312. The listed phone number is (610) 557-0252.

What is Tied Main Line Tongue Tie Professionals.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Tied Main Line Tongue Tie Professionals. was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.