| Broad Axe Family Dentistry | |
|
6198 Butler Pike Suite 140 Blue Bell PA 19422-2600 | |
| (215) 643-9858 | |
| (215) 643-9882 |
| Full Name | Broad Axe Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6198 Butler Pike, Blue Bell, Pennsylvania |
| Authorized Official Name and Position | Jessica M Hershman (DENTIST) |
| Authorized Official Contact | 2156439858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broad Axe Family Dentistry 6198 Butler Pike Suite 140 Blue Bell PA 19422-2600 Ph: (215) 643-9858 | Broad Axe Family Dentistry 6198 Butler Pike Suite 140 Blue Bell PA 19422-2600 Ph: (215) 643-9858 |
| NPI Number | 1972983609 |
|---|---|
| Provider Enumeration Date | 06/08/2015 |
| Last Update Date | 06/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972983609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS039091 (Pennsylvania) | Primary |
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