DYNAMIC MODERN DENTISTRY
NPI 1578714812
Dentist - General Practice in Glenside, PA

Active since October 06, 2008
230 N KESWICK AVE, GLENSIDE, PA 19038(215) 885-4252(215) 885-7487 Get Directions Write a Review

NPPES record last updated: October 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dynamic Modern Dentistry NPPES

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

DYNAMIC MODERN DENTISTRY (NPI 1578714812) is a healthcare organization registered as a general practice in Glenside, Pennsylvania and active in the NPI registry since October 2008. The organization lists Susan M Rotzal, Partner, as its authorized official.

NPPES Registry Identity

NPI1578714812
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDYNAMIC MODERN DENTISTRY
Location Address230 N KESWICK AVEGlenside, PA 19038-4804
Mailing Address230 N Keswick AveGlenside, PA 19038-4804 · (215) 885-4252 · Fax (215) 885-7487
Fax(215) 885-7487
Organization SubpartNo
Authorized OfficialSusan M RotzalPartner · (215) 885-4252
Enumeration DateOctober 6, 2008
NPI 1578714812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
230 N KESWICK AVE, Glenside, PA 19038

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

Dentist (General Practice)
230 N KESWICK AVE
GLENSIDE, PA 19038
Dentist (General Practice)
230 N KESWICK AVE
GLENSIDE, PA 19038
Dentist (General Practice)
230 N KESWICK AVE
GLENSIDE, PA 19038
Dentist (General Practice)
230 N KESWICK AVE
GLENSIDE, PA 19038
Dentist (General Practice)
230 N KESWICK AVE
GLENSIDE, PA 19038

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 Dynamic Modern Dentistry's NPI number?

The NPI number for Dynamic Modern Dentistry is 1578714812. It was assigned to this organization in the NPPES registry on October 6, 2008.

Where is Dynamic Modern Dentistry located?

Dynamic Modern Dentistry is located at 230 N Keswick Ave, Glenside, PA 19038. The listed phone number is (215) 885-4252.

What is Dynamic Modern Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dynamic Modern Dentistry was last updated on October 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.