| Thomas Backenstose Dmd Inc | |
|
901 Sunset Drive Blue Bell PA 19422 | |
| (215) 641-0641 | |
| Not Available |
| Full Name | Thomas Backenstose Dmd Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 901 Sunset Drive, Blue Bell, Pennsylvania |
| Authorized Official Name and Position | Thomas C. Backenstose (PRESIDENT) |
| Authorized Official Contact | 2156410641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Backenstose Dmd Inc 901 Sunset Drive Blue Bell PA 19422 Ph: (215) 641-0641 | Thomas Backenstose Dmd Inc 901 Sunset Drive Blue Bell PA 19422 Ph: (215) 641-0641 |
| NPI Number | 1033372412 |
|---|---|
| Provider Enumeration Date | 07/07/2008 |
| Last Update Date | 11/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033372412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D10848 (Minnesota) | Primary |
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