UPPER DARBY FAMILY DENTAL LLC


Address: 37 Garrett Rd Unit B, Upper Darby, PA 19082-2302
Phone: 6103793001

UPPER DARBY FAMILY DENTAL LLC (NPI# 1740763762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740763762
Entity Type Organization
Organization Name UPPER DARBY FAMILY DENTAL LLC
Practice Address 37 Garrett Rd Unit B
Upper Darby
PA 19082-2302
Practice Telephone 6103793001
Mailing Telephone 6103793001
Enumeration Date 2018-09-14
Last Update Date 2018-09-14
Authorized Official Name ANJUM MOHAMMAD (MANAGER)
Authorized Official Telephone 6103793001
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Office Location

Street Address 37 GARRETT RD UNIT B
City UPPER DARBY
State PA
Zip Code 19082-2302

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1720469505 Monique Scott I Psychologist 250 Beverly Blvd Apt B201, Upper Darby, PA 19082 2015-06-17
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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Competitor

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City UPPER DARBY
Zip Code 19082

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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