| Gd Pa Collegeville Pllc | |
|
555 Second Ave Ste D-500 Collegeville PA 19426-3641 | |
| (610) 409-9370 | |
| Not Available |
| Full Name | Gd Pa Collegeville Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 555 Second Ave Ste D-500, Collegeville, Pennsylvania |
| Authorized Official Name and Position | Chad Hendricks (CREDENTIALING) |
| Authorized Official Contact | 6128590444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gd Pa Collegeville Pllc 555 Second Ave Ste D-500 Collegeville PA 19426-3641 Ph: (610) 409-9370 | Gd Pa Collegeville Pllc 555 Second Ave Ste D-500 Collegeville PA 19426-3641 Ph: (610) 409-9370 |
| NPI Number | 1992524623 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992524623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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