| The Devereux Foundation | |
|
1300 Ship Rd West Chester PA 19380-1308 | |
| (610) 431-9651 | |
| (610) 542-3191 |
| Full Name | The Devereux Foundation |
|---|---|
| Speciality | Dentist |
| Location | 1300 Ship Rd, West Chester, Pennsylvania |
| Authorized Official Name and Position | Jessica Kalbach (LEAD CONTRACTS ANALYST) |
| Authorized Official Contact | 6105423042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Devereux Foundation 1300 Ship Rd West Chester PA 19380-1308 Ph: (610) 431-9651 | The Devereux Foundation 1300 Ship Rd West Chester PA 19380-1308 Ph: (610) 431-9651 |
| NPI Number | 1609055821 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 03/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609055821 | NPI | - | NPPES |
| 1000019130348 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Pennsylvania) | Primary |
| 261QD0000X | Clinic/center - Dental | (Pennsylvania) | Secondary |
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