| Advanced Dental Group | |
|
528 Street Rd Southampton PA 18966-3747 | |
| (215) 230-4464 | |
| (215) 322-4009 |
| Full Name | Advanced Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 528 Street Rd, Southampton, Pennsylvania |
| Authorized Official Name and Position | Michael Belder (PRESIDENT) |
| Authorized Official Contact | 2153222262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Group 528 Street Rd Southampton PA 18966-3747 Ph: (215) 230-4464 | Advanced Dental Group 528 Street Rd Southampton PA 18966-3747 Ph: (215) 230-4464 |
| NPI Number | 1659458222 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 04/03/2023 |
| Medicare PECOS PAC ID | 2567827710 |
|---|---|
| Medicare Enrollment ID | O20230424001132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659458222 | NPI | - | NPPES |
| Provider Name | Phillip Taylor Belder |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1083239404 PECOS PAC ID: 5799140950 Enrollment ID: I20230424001428 |
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