| Advanced Dentistry, P.c. | |
|
250 W Lancaster Ave Suite 240 Paoli PA 19301-1743 | |
| (610) 640-9500 | |
| Not Available |
| Full Name | Advanced Dentistry, P.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 250 W Lancaster Ave, Paoli, Pennsylvania |
| Authorized Official Name and Position | Reza Assad (DENTIST) |
| Authorized Official Contact | 6106409500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dentistry, P.c. 250 W Lancaster Ave Suite 240 Paoli PA 19301-1743 Ph: (610) 640-9500 | Advanced Dentistry, P.c. 250 W Lancaster Ave Suite 240 Paoli PA 19301-1743 Ph: (610) 640-9500 |
| NPI Number | 1720290067 |
|---|---|
| Provider Enumeration Date | 05/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720290067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS-029820-L (Pennsylvania) | Primary |
| 1223P0300X | Dentist - Periodontics | DS-029820-L (Pennsylvania) | Primary |
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