| Dr Glenn Miller And Dr Donald Tedrow | |
|
130 Almshouse Road Suite Number 500 Richboro PA 18954 | |
| (215) 322-0440 | |
| (215) 322-3941 |
| Full Name | Dr Glenn Miller And Dr Donald Tedrow |
|---|---|
| Speciality | Dentist |
| Location | 130 Almshouse Road, Richboro, Pennsylvania |
| Authorized Official Name and Position | Donald G Tedrow (OWNER PARTNER) |
| Authorized Official Contact | 2153220440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glenn Miller And Dr Donald Tedrow 130 Almshouse Road Suite Number 500 Richboro PA 18954 Ph: (215) 322-0440 | Dr Glenn Miller And Dr Donald Tedrow 130 Almshouse Road Suite Number 500 Richboro PA 18954 Ph: (215) 322-0440 |
| NPI Number | 1508921644 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9537473517 |
|---|---|
| Medicare Enrollment ID | O20150804005666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508921644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS023139L (Pennsylvania) | Secondary |
| 1223G0001X | Dentist - General Practice | DS022913L (Pennsylvania) | Primary |
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