| Kennett Square Periodontics, Pc | |
|
630 Cope Rd Suite C Kennett Square PA 19348-2438 | |
| (610) 944-5080 | |
| (610) 444-5876 |
| Full Name | Kennett Square Periodontics, Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 630 Cope Rd, Kennett Square, Pennsylvania |
| Authorized Official Name and Position | Seyed Shamseddin (OWNER) |
| Authorized Official Contact | 6109445080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennett Square Periodontics, Pc 630 Cope Rd Suite C Kennett Square PA 19348-2438 Ph: (610) 944-5080 | Kennett Square Periodontics, Pc 630 Cope Rd Suite C Kennett Square PA 19348-2438 Ph: (610) 944-5080 |
| NPI Number | 1598778417 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598778417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | BS2998459 (Pennsylvania) | Primary |
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