Individual provider · Type 1 NPI

Jay B. Laudenbach, DMD

Periodontics · Philadelphia, PA

NPI number 1780608620 Active

Practice location

1520 Locust St, Suite 600
Philadelphia, PA 19102-4403

Mailing address

170 Idris Rd
Merion Station, PA 19066-1611

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDS035409 (PA)
Periodontics Primary 1223P0300XDS035409 (PA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1780608620

Jay B. Laudenbach, DMD's National Provider Identifier is 1780608620, issued on Jul 26, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 11, 2025.