Provider Demographics
NPI:1972789253
Name:HANDEL, BRIAN E (DDS)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:E
Last Name:HANDEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 OLD EAGLE SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-2609
Mailing Address - Country:US
Mailing Address - Phone:610-293-1227
Mailing Address - Fax:610-688-1896
Practice Address - Street 1:295 OLD EAGLE SCHOOL RD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-2609
Practice Address - Country:US
Practice Address - Phone:610-293-1227
Practice Address - Fax:610-688-1896
Is Sole Proprietor?:No
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS025722122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist