| Jenkintown Endodontics, Llc | |
|
509 York Rd Jenkintown PA 19046-2102 | |
| (267) 589-9636 | |
| Not Available |
| Full Name | Jenkintown Endodontics, Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 509 York Rd, Jenkintown, Pennsylvania |
| Authorized Official Name and Position | Alexander Fuller (PART OWNER/ ENDODONTIST) |
| Authorized Official Contact | 2672550759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenkintown Endodontics, Llc 509 York Rd Jenkintown PA 19046-2102 Ph: (267) 589-9636 | Jenkintown Endodontics, Llc 509 York Rd Jenkintown PA 19046-2102 Ph: (267) 589-9636 |
| NPI Number | 1386118958 |
|---|---|
| Provider Enumeration Date | 01/17/2019 |
| Last Update Date | 01/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386118958 | NPI | - | NPPES |
| 1508260274 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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