| Amy Shoumer Dmd | |
|
919 Conestoga Rd Bryn Mawr PA 19010-1352 | |
| (610) 234-3881 | |
| Not Available |
| Full Name | Amy Shoumer Dmd |
|---|---|
| Speciality | Clinic/Center |
| Location | 919 Conestoga Rd, Bryn Mawr, Pennsylvania |
| Authorized Official Name and Position | Amy Shoumer (OWNER) |
| Authorized Official Contact | 6102343881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Shoumer Dmd 919 Conestoga Rd Building One Suite 100 Bryn Mawr PA 19010 Ph: (610) 234-3881 | Amy Shoumer Dmd 919 Conestoga Rd Bryn Mawr PA 19010-1352 Ph: (610) 234-3881 |
| NPI Number | 1407419799 |
|---|---|
| Provider Enumeration Date | 04/22/2019 |
| Last Update Date | 10/13/2022 |
| Medicare PECOS PAC ID | 1153751896 |
|---|---|
| Medicare Enrollment ID | O20200421002764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407419799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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