| Academy Denistry Group | |
|
10101 Academy Rd Ste 2 Philadelphia PA 19114-1120 | |
| (215) 637-5800 | |
| (215) 637-6704 |
| Full Name | Academy Denistry Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10101 Academy Rd Ste 2, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Mark E Miller (CFO) |
| Authorized Official Contact | 8569051282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Academy Denistry Group 10101 Academy Rd Ste 2 Philadelphia PA 19114-1120 Ph: (215) 637-5800 | Academy Denistry Group 10101 Academy Rd Ste 2 Philadelphia PA 19114-1120 Ph: (215) 637-5800 |
| NPI Number | 1679053177 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 08/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679053177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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