Provider Demographics
NPI:1447689039
Name:DESAI, ARPAN (DMD)
Entity type:Individual
Prefix:DR
First Name:ARPAN
Middle Name:
Last Name:DESAI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1126 HORSHAM RD
Mailing Address - Street 2:SUIT B
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-1178
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1126 HORSHAM RD
Practice Address - Street 2:SUIT B
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-1178
Practice Address - Country:US
Practice Address - Phone:215-619-6756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS039787122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist