OrganizationActive
Prime Time Dental
NPI 1558656124 · Preferred Provider Organization · Norristown, PA
Provider details
- NPI number
- 1558656124
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Authorized official
- Bob Sulimanov, Manager
- License
- 00389NO07133833 (PA)
Practice location
1548 Dekalb St
Norristown, PA 19401-3425
Phone: (610) 277-7645
Fax: (610) 277-7644
Mailing address
1548 Dekalb St
Norristown, PA 19401-3425
Registry dates
- Enumerated
- 2011-06-12
- Last updated
- 2011-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.