| Premier Dental Of Edgmont Square Llc | |
|
4753 W Chester Pike Newtown Square PA 19073-2212 | |
| (484) 424-0078 | |
| Not Available |
| Full Name | Premier Dental Of Edgmont Square Llc |
|---|---|
| Speciality | Dentist |
| Location | 4753 W Chester Pike, Newtown Square, Pennsylvania |
| Authorized Official Name and Position | Mike Cole (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Contact | 9419553150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental Of Edgmont Square Llc 4753 W Chester Pike Newtown Square PA 19073-2212 Ph: (484) 424-0078 | Premier Dental Of Edgmont Square Llc 4753 W Chester Pike Newtown Square PA 19073-2212 Ph: (484) 424-0078 |
| NPI Number | 1801327002 |
|---|---|
| Provider Enumeration Date | 03/21/2017 |
| Last Update Date | 04/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801327002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Pennsylvania) | Primary |
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