Provider Demographics
NPI:1699657288
Name:DENTAL & CO. KING OF PRUSSIA, PLLC
Entity type:Organization
Organization Name:DENTAL & CO. KING OF PRUSSIA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:ANGELO
Authorized Official - Last Name:FAINO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:267-250-2703
Mailing Address - Street 1:4207 HOUGHTON ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-1722
Mailing Address - Country:US
Mailing Address - Phone:267-250-2703
Mailing Address - Fax:
Practice Address - Street 1:314 S HENDERSON RD STE 1020
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-2449
Practice Address - Country:US
Practice Address - Phone:610-989-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty