| Quakertown Periodontal Associates | |
|
1402 W Broad St Quakertown PA 18951-1110 | |
| (215) 538-0551 | |
| Not Available |
| Full Name | Quakertown Periodontal Associates |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1402 W Broad St, Quakertown, Pennsylvania |
| Authorized Official Name and Position | Bruce Dordick (PRES) |
| Authorized Official Contact | 2155380551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quakertown Periodontal Associates 1402 W Broad St Quakertown PA 18951-1110 Ph: (215) 538-0551 | Quakertown Periodontal Associates 1402 W Broad St Quakertown PA 18951-1110 Ph: (215) 538-0551 |
| NPI Number | 1184643389 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184643389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DS017728L (Pennsylvania) | Primary |
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