| Mount Airy Family Dental Llc | |
|
1600 Ivy Hill Rd Philadelphia PA 19150-1008 | |
| (952) 649-9817 | |
| Not Available |
| Full Name | Mount Airy Family Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1600 Ivy Hill Rd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Madhvi Patel (PARTNER) |
| Authorized Official Contact | 9526499817 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Airy Family Dental Llc 1600 Ivy Hill Rd Philadelphia PA 19150-1008 Ph: (215) 248-1404 | Mount Airy Family Dental Llc 1600 Ivy Hill Rd Philadelphia PA 19150-1008 Ph: (952) 649-9817 |
| NPI Number | 1508490509 |
|---|---|
| Provider Enumeration Date | 02/27/2020 |
| Last Update Date | 06/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508490509 | NPI | - | NPPES |
| 103246221 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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