| Prospect Park Cosmetic Dentistry | |
|
338 Lincoln Ave Prospect Park PA 19076-2421 | |
| (610) 532-4145 | |
| (610) 532-5000 |
| Full Name | Prospect Park Cosmetic Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 338 Lincoln Ave, Prospect Park, Pennsylvania |
| Authorized Official Name and Position | Shweta Gandhi (PRESIDENT) |
| Authorized Official Contact | 6105325000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prospect Park Cosmetic Dentistry 338 Lincoln Ave Prospect Park PA 19076-2421 Ph: (610) 532-5000 | Prospect Park Cosmetic Dentistry 338 Lincoln Ave Prospect Park PA 19076-2421 Ph: (610) 532-4145 |
| NPI Number | 1841792066 |
|---|---|
| Provider Enumeration Date | 03/03/2018 |
| Last Update Date | 03/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841792066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS037293 (Pennsylvania) | Primary |
| 261QD0000X | Clinic/center - Dental | 22DI02362100 (New Jersey) | Secondary |
Prospect Park Family Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 Lincoln Ave, Prospect Park, PA 19076 Phone: 610-583-5052 | |
Rapozafamily Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1319 Lincoln Ave, Prospect Park, PA 19076 Phone: 610-532-5008 Fax: 610-532-2459 | |
Richard N Benjamin Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 Lincoln Ave, Prospect Park, PA 19076 Phone: 610-583-5052 Fax: 610-583-5081 |