Brandywine Dental Of The Lehigh Valley, Llc | |
9655 Longswamp Rd Mertztown PA 19539-8800 | |
(610) 682-6386 | |
(610) 682-6387 |
Full Name | Brandywine Dental Of The Lehigh Valley, Llc |
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Speciality | Dentist |
Location | 9655 Longswamp Rd, Mertztown, Pennsylvania |
Authorized Official Name and Position | Michael E Kun (OWNER/CEO) |
Authorized Official Contact | 6106826386 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brandywine Dental Of The Lehigh Valley, Llc 9655 Longswamp Rd Mertztown PA 19539-8800 Ph: (610) 682-6386 | Brandywine Dental Of The Lehigh Valley, Llc 9655 Longswamp Rd Mertztown PA 19539-8800 Ph: (610) 682-6386 |
NPI Number | 1932779196 |
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Provider Enumeration Date | 06/30/2021 |
Last Update Date | 06/30/2021 |
Medicare PECOS PAC ID | 8820496987 |
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Medicare Enrollment ID | O20211005001045 |
Identifier | Type | State | Issuer |
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1932779196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Pearly Whites By Megh N Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 558 State St, Mertztown, PA 19539 Phone: 971-999-3399 |