| Bala Institute Of Oral Surgery | |
|
15 Presidential Blvd Suite 301 Bala Cynwyd PA 19004-1006 | |
| (610) 667-6161 | |
| (610) 617-9275 |
| Full Name | Bala Institute Of Oral Surgery |
|---|---|
| Speciality | Dentist |
| Location | 15 Presidential Blvd, Bala Cynwyd, Pennsylvania |
| Authorized Official Name and Position | Lisa Waxman (OFFICE MANAGER) |
| Authorized Official Contact | 4846806405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bala Institute Of Oral Surgery 15 N Presidential Boulevard Suite 301 Bala Cynwyd PA 19004 Ph: (610) 667-6161 | Bala Institute Of Oral Surgery 15 Presidential Blvd Suite 301 Bala Cynwyd PA 19004-1006 Ph: (610) 667-6161 |
| NPI Number | 1477567782 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 03/04/2022 |
| Medicare PECOS PAC ID | 9537298575 |
|---|---|
| Medicare Enrollment ID | O20100528000679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477567782 | NPI | - | NPPES |
| 172847 | Other | PA | BLUE SHIELD |
| 1610569 | Other | PA | UNITED CONCORDIA |
| 3776353 | Other | PA | AETNA |
| MA172847 | Other | PA | HIGHMARK |
| 1610569 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS023126L (Pennsylvania) | Primary |
| Provider Name | Mansoor Madani |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1568646628 PECOS PAC ID: 0446389480 Enrollment ID: I20100607000312 |
Bala Oral Health Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 W City Avenue, Bala Cynwyd, PA 19004 Phone: 610-667-7171 Fax: 610-667-5121 | |
American Family Dental Care P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 City Line Ave, Suite# G-5, Bala Cynwyd, PA 19004 Phone: 610-660-9510 Fax: 610-660-9512 | |
Anthony Farole Dmd, Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 191 Presidential Blvd, W2, Bala Cynwyd, PA 19004 Phone: 610-668-3300 Fax: 610-668-4038 | |
Clark Dental Associates, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Bala Ave Ste 301, Bala Cynwyd, PA 19004 Phone: 215-877-9111 Fax: 215-877-1524 | |
Bala Kids Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 N Presidential Blvd, Suite 303, Bala Cynwyd, PA 19004 Phone: 610-336-8478 Fax: 610-617-9275 | |
Direct Mobile Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Montgomery Ave Fl 1, Bala Cynwyd, PA 19004 Phone: 610-960-8905 |