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IMPLANT DENTISTRY ASSOCIATES P.C.
NPI 1417293739
Dentist - Oral and Maxillofacial Surgery in King Of Prussia, PA

Active since December 13, 2012
234 MALL BLVD, SUITE 180, KING OF PRUSSIA, PA 19406(484) 231-1177(484) 231-8964 Get Directions Write a Review

NPPES record last updated: December 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Implant Dentistry Associates P.c. NPPES

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

IMPLANT DENTISTRY ASSOCIATES P.C. (NPI 1417293739) is a healthcare organization registered as an oral and maxillofacial surgery in King Of Prussia, Pennsylvania and active in the NPI registry since December 2012. The organization lists Clifford Gratz, Manager, as its authorized official.

NPPES Registry Identity

NPI1417293739
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameIMPLANT DENTISTRY ASSOCIATES P.C.
Location Address234 MALL BLVD, SUITE 180King Of Prussia, PA 19406-2954
Mailing Address234 Mall Blvd, Suite 180King Of Prussia, PA 19406-2954 · (484) 231-1177 · Fax (484) 231-8964
Phone(484) 231-1177
Fax(484) 231-8964
Organization SubpartNo
Authorized OfficialClifford GratzManager · (484) 231-1177
Enumeration DateDecember 13, 2012
Last NPPES UpdateDecember 17, 2012
✔ NPI 1417293739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in PA · DS035811L
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License DS024390L (PA)
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X · License DS027440L (PA)
234 MALL BLVD, King Of Prussia, PA 19406
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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

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

RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II, P.C.
Prosthetic/Orthotic Supplier
234 MALL BLVD, SUITE G-10, THE ATRIUM BUILDING
KING OF PRUSSIA, PA 19406
Montgomery County (610) 755-3080

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 Implant Dentistry Associates P.C.'s NPI number?

The NPI number for Implant Dentistry Associates P.C. is 1417293739. It was assigned to this organization in the NPPES registry on December 13, 2012.

Where is Implant Dentistry Associates P.C. located?

Implant Dentistry Associates P.C. is located at 234 Mall Blvd Suite 180, King Of Prussia, PA 19406. The listed phone number is (484) 231-1177.

What is Implant Dentistry Associates P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Implant Dentistry Associates P.C. was last updated on December 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.