| Campus Dental Center, Inc. | |
|
2200 Providence Ave Chester PA 19013-5219 | |
| (610) 872-2355 | |
| (610) 872-1924 |
| Full Name | Campus Dental Center, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2200 Providence Ave, Chester, Pennsylvania |
| Authorized Official Name and Position | Said H. Mohamed-ali (OWNER) |
| Authorized Official Contact | 6108722355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Campus Dental Center, Inc. 2200 Providence Ave Chester PA 19013-5219 Ph: (610) 872-2355 | Campus Dental Center, Inc. 2200 Providence Ave Chester PA 19013-5219 Ph: (610) 872-2355 |
| NPI Number | 1538234018 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538234018 | NPI | - | NPPES |
| 0005296320001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS020611L (Pennsylvania) | Primary |
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