BUTLER PIKE PERIODONTAL ASSOCIATES, LLC
NPI 1902377344
Dentist - Periodontics in Ambler, PA

Active since December 11, 2018
140 E BUTLER AVE, AMBLER, PA 19002(267) 643-4393 Get Directions Write a Review

NPPES record last updated: December 21, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 21, 2019, Dec 11, 2018 (2 updates tracked since 2018).

About Butler Pike Periodontal Associates, Llc NPPES

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

BUTLER PIKE PERIODONTAL ASSOCIATES, LLC (NPI 1902377344) is a healthcare organization registered as a periodontics in Ambler, Pennsylvania and active in the NPI registry since December 2018. The organization lists Philip L Fava, Owner, as its authorized official.

NPPES Registry Identity

NPI1902377344
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameBUTLER PIKE PERIODONTAL ASSOCIATES, LLC
Location Address140 E BUTLER AVEAmbler, PA 19002-4427
Mailing Address140 E Butler AveAmbler, PA 19002-4427 · (267) 643-4393
Organization SubpartNo
Authorized OfficialPhilip L FavaOwner · (267) 643-4393
Enumeration DateDecember 11, 2018
Last NPPES UpdateDecember 21, 20192 updates tracked since enumeration
NPI 1902377344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

140 E BUTLER AVE, Ambler, PA 19002

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.

Social Worker (Clinical)
140 E BUTLER AVE
AMBLER, PA 19002

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902377344, enumerated as an "organization" on December 11, 2018.

The provider is located at 140 E BUTLER AVE AMBLER, PA 19002 and the phone number is (267) 643-4393.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.