| Prime Dental Associates, Llc | |
|
101 Old York Rd Ste 401 Jenkintown PA 19046-3912 | |
| (215) 884-2707 | |
| (215) 884-2709 |
| Full Name | Prime Dental Associates, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 101 Old York Rd Ste 401, Jenkintown, Pennsylvania |
| Authorized Official Name and Position | Shaochen Liu (DENTIST) |
| Authorized Official Contact | 2158842707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Dental Associates, Llc 101 Old York Rd Ste 401 Jenkintown PA 19046-3912 Ph: (215) 884-2707 | Prime Dental Associates, Llc 101 Old York Rd Ste 401 Jenkintown PA 19046-3912 Ph: (215) 884-2707 |
| NPI Number | 1952901704 |
|---|---|
| Provider Enumeration Date | 10/30/2020 |
| Last Update Date | 10/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952901704 | NPI | - | NPPES |
| 0018826210002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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