Premier Endodontics, Pc | |
4101 Tyson Ave Philadelphia PA 19135-1615 | |
(215) 338-0188 | |
(215) 338-9076 |
Full Name | Premier Endodontics, Pc |
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Speciality | Dentist - Endodontics |
Location | 4101 Tyson Ave, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Neal Appelstein (OWNER) |
Authorized Official Contact | 2153380188 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Premier Endodontics, Pc 1700 Devonshire Rd Dresher PA 19025-1307 Ph: (215) 657-5158 | Premier Endodontics, Pc 4101 Tyson Ave Philadelphia PA 19135-1615 Ph: (215) 338-0188 |
NPI Number | 1790706778 |
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Provider Enumeration Date | 07/22/2006 |
Last Update Date | 12/21/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790706778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | DS061316L (Pennsylvania) | Primary |
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