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BROOMALL PEDIATRIC DENTISTRY & ORTHODONTICS,P.C.
NPI 1336202787
Dentist - Pediatric Dentistry in Havertown, PA

Active since December 18, 2006
1220 W CHESTER PIKE, HAVERTOWN, PA 19083(484) 454-3230(484) 455-7186 Get Directions Write a Review

NPPES record last updated: April 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broomall Pediatric Dentistry & Orthodontics,p.c. NPPES

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

BROOMALL PEDIATRIC DENTISTRY & ORTHODONTICS,P.C. (NPI 1336202787) is a healthcare organization registered as a pediatric dentistry in Havertown, Pennsylvania and active in the NPI registry since December 2006. The organization lists Jay Goldsleger, Dentist,owner, as its authorized official.

NPPES Registry Identity

NPI1336202787
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBROOMALL PEDIATRIC DENTISTRY & ORTHODONTICS,P.C.
Location Address1220 W CHESTER PIKEHavertown, PA 19083-3339
Mailing Address1220 W Chester PikeHavertown, PA 19083-3339 · (484) 454-3230 · Fax (484) 455-7186
Phone(484) 454-3230
Fax(484) 455-7186
Organization SubpartNo
Authorized OfficialJay GoldslegerDentist,owner · (484) 454-3230
Enumeration DateDecember 18, 2006
Last NPPES UpdateApril 28, 2016
✔ NPI 1336202787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
1220 W CHESTER PIKE, Havertown, PA 19083
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Other Identifiers 1

Medicare ID-Type Unspecified101239157-0001PA · Department Of Welfare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DR. ERIN RUANE BAUERLE DMD, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
1220 W CHESTER PIKE
HAVERTOWN, PA 19083
Delaware County (484) 454-3230
IBRAHIM A DURRA DMD
Dentist (Pediatric Dentistry)
1220 W CHESTER PIKE
HAVERTOWN, PA 19083
Delaware County (484) 454-3230
AMA D WALLEY DMD
Dentist
1220 W CHESTER PIKE
HAVERTOWN, PA 19083
Delaware County (484) 454-3230
DR. SHELDON MARVIN BERNICK D.D.S.
Dentist (Pediatric Dentistry)
1220 W CHESTER PIKE
HAVERTOWN, PA 19083
Delaware County (484) 454-3230

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 Broomall Pediatric Dentistry & Orthodontics,p.C.'s NPI number?

The NPI number for Broomall Pediatric Dentistry & Orthodontics,p.C. is 1336202787. It was assigned to this organization in the NPPES registry on December 18, 2006.

Where is Broomall Pediatric Dentistry & Orthodontics,p.C. located?

Broomall Pediatric Dentistry & Orthodontics,p.C. is located at 1220 W Chester Pike, Havertown, PA 19083. The listed phone number is (484) 454-3230.

What is Broomall Pediatric Dentistry & Orthodontics,p.C.'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 Broomall Pediatric Dentistry & Orthodontics,p.C. was last updated on April 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.