Butler Pike Periodontal Associates, Llc | |
140 E Butler Ave Ambler PA 19002-4427 | |
(267) 643-4393 | |
Not Available |
Full Name | Butler Pike Periodontal Associates, Llc |
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Speciality | Dentist - Periodontics |
Location | 140 E Butler Ave, Ambler, Pennsylvania |
Authorized Official Name and Position | Philip L Fava (OWNER) |
Authorized Official Contact | 2676434393 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Butler Pike Periodontal Associates, Llc 140 E Butler Ave Ambler PA 19002-4427 Ph: (267) 643-4393 | Butler Pike Periodontal Associates, Llc 140 E Butler Ave Ambler PA 19002-4427 Ph: (267) 643-4393 |
NPI Number | 1902377344 |
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Provider Enumeration Date | 12/11/2018 |
Last Update Date | 12/21/2019 |
Identifier | Type | State | Issuer |
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1902377344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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