| Pennridge Dental Associates, Llc | |
|
120 N. Main Street Sellersville PA 18960-2327 | |
| (215) 257-4447 | |
| (215) 453-7470 |
| Full Name | Pennridge Dental Associates, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 120 N. Main Street, Sellersville, Pennsylvania |
| Authorized Official Name and Position | Joseph A Mirtaj (OWNER) |
| Authorized Official Contact | 2152574447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennridge Dental Associates, Llc 55 N Main St Sellersville PA 18960-2327 Ph: (215) 257-4447 | Pennridge Dental Associates, Llc 120 N. Main Street Sellersville PA 18960-2327 Ph: (215) 257-4447 |
| NPI Number | 1164442554 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 10/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164442554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS028963L (Pennsylvania) | Primary |
Sellersville Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Lawn Ave, Ste A2, Sellersville, PA 18960 Phone: 215-258-1090 | |
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Titan St Enterprises, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Lawn Ave Ste 8, Sellersville, PA 18960 Phone: 215-258-1090 Fax: 215-258-1091 |