Provider Demographics
NPI:1669349361
Name:NUSQUARE DENTAL
Entity type:Organization
Organization Name:NUSQUARE DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NEELIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:PITCHIKA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:215-200-5165
Mailing Address - Street 1:111 PARKVIEW WAY
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-2254
Mailing Address - Country:US
Mailing Address - Phone:215-200-5165
Mailing Address - Fax:610-375-6923
Practice Address - Street 1:218 S NEWTOWN STREET RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-4000
Practice Address - Country:US
Practice Address - Phone:215-200-5165
Practice Address - Fax:610-375-6923
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LUMINA DENTAL PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-20
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty