| John A Takacs Dmd | |
|
1707w Passyunk Ave Philadelphia PA 19145 | |
| (215) 271-7259 | |
| Not Available |
| Full Name | John A Takacs Dmd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1707w Passyunk Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | John Alexander Takacs (OWNER/DENTIST) |
| Authorized Official Contact | 2152717259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John A Takacs Dmd 333 Queen St Philadelphia PA 19147-3220 Ph: (215) 287-9871 | John A Takacs Dmd 1707w Passyunk Ave Philadelphia PA 19145 Ph: (215) 271-7259 |
| NPI Number | 1821519752 |
|---|---|
| Provider Enumeration Date | 06/30/2017 |
| Last Update Date | 06/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821519752 | NPI | - | NPPES |
| 1295156081 | Other | CIGNA | |
| 1295156081 | Other | HORIZON | |
| 1295156081 | Other | DELTA DENTAL | |
| 1295156081 | Other | UNITED CONCORDIA | |
| 1295156081 | Other | MET LIFE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS039780 (Pennsylvania) | Primary |
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