| Jared S. Kenwood, Dds, Pc | |
|
301 Oxford Valley Rd Ste 404a Yardley PA 19067-7710 | |
| (215) 493-1616 | |
| Not Available |
| Full Name | Jared S. Kenwood, Dds, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 301 Oxford Valley Rd Ste 404a, Yardley, Pennsylvania |
| Authorized Official Name and Position | Jared S Kenwood (OWNER/DENTIST) |
| Authorized Official Contact | 2154931616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jared S. Kenwood, Dds, Pc 301 Oxford Valley Rd Ste 404a Yardley PA 19067-7710 Ph: (215) 493-1616 | Jared S. Kenwood, Dds, Pc 301 Oxford Valley Rd Ste 404a Yardley PA 19067-7710 Ph: (215) 493-1616 |
| NPI Number | 1629716659 |
|---|---|
| Provider Enumeration Date | 05/20/2022 |
| Last Update Date | 05/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629716659 | NPI | - | NPPES |
| 35547 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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