| Chestnut Dental Arts | |
|
3 West Gowen Avenue Philadelphia PA 19119 | |
| (215) 242-0670 | |
| (215) 248-3874 |
| Full Name | Chestnut Dental Arts |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3 West Gowen Avenue, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Derrick Brandon Graves (DENTIST) |
| Authorized Official Contact | 2152420670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chestnut Dental Arts 3 West Gowen Avenue Philadelphia PA 19119 Ph: (215) 242-0670 | Chestnut Dental Arts 3 West Gowen Avenue Philadelphia PA 19119 Ph: (215) 242-0670 |
| NPI Number | 1740328939 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740328939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS025356L (Pennsylvania) | Primary |
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