Wallingford Smilemakers Llc | |
1 Chester Rd Wallingford PA 19086-6601 | |
(610) 874-5700 | |
(610) 872-5348 |
Full Name | Wallingford Smilemakers Llc |
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Speciality | Clinic/center - Dental |
Location | 1 Chester Rd, Wallingford, Pennsylvania |
Authorized Official Name and Position | Ronald Michael Hayes (OWNER/DENTIST) |
Authorized Official Contact | 6108745700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wallingford Smilemakers Llc 1 Chester Rd Wallingford PA 19086-6601 Ph: (610) 874-5700 | Wallingford Smilemakers Llc 1 Chester Rd Wallingford PA 19086-6601 Ph: (610) 874-5700 |
NPI Number | 1265838379 |
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Provider Enumeration Date | 11/17/2014 |
Last Update Date | 11/18/2015 |
Identifier | Type | State | Issuer |
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1265838379 | NPI | - | NPPES |
7370300001 | Other | PA | MEDICARE PCAN |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | DS028517L (Pennsylvania) | Primary |