| Direct Mobile Dental Services, Inc. | |
|
141 Montgomery Ave Fl 2 Bala Cynwyd PA 19004-2827 | |
| (610) 960-8905 | |
| (610) 667-4374 |
| Full Name | Direct Mobile Dental Services, Inc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 141 Montgomery Ave Fl 2, Bala Cynwyd, Pennsylvania |
| Authorized Official Name and Position | Steven Melman (PRESIDENT) |
| Authorized Official Contact | 6106647795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Direct Mobile Dental Services, Inc. Po Box 2205 Bala Cynwyd PA 19004-6205 Ph: (610) 960-8905 | Direct Mobile Dental Services, Inc. 141 Montgomery Ave Fl 2 Bala Cynwyd PA 19004-2827 Ph: (610) 960-8905 |
| NPI Number | 1669005237 |
|---|---|
| Provider Enumeration Date | 02/21/2020 |
| Last Update Date | 02/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669005237 | NPI | - | NPPES |
| 1034415850003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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