Broomall Pediatric Dentistry & Orthodontics,P.C. in Havertown - Pediatric Dentistry
Broomall Pediatric Dentistry & Orthodontics,P.C. - NPI 1336202787
Broomall Pediatric Dentistry & Orthodontics,P.C. is a Pediatric Dentistry in Havertown, Pennsylvania. Broomall Pediatric Dentistry & Orthodontics,P.C. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Broomall Pediatric Dentistry & Orthodontics,P.C. is 1336202787. The last update date is 2016-04-28.
Broomall Pediatric Dentistry & Orthodontics,P.C.'s current location address is 1220 W Chester Pike, Havertown, Pennsylvania. You can contact this provider via phone number 4844543230 and fax number 4844557186. The mailing address for Broomall Pediatric Dentistry & Orthodontics,P.C. is 1220 W Chester Pike, Havertown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broomall Pediatric Dentistry & Orthodontics,P.C. |
|---|---|
| Address | 1220 W Chester Pike, Havertown, Pennsylvania |
| Phone Number | 4844543230 |
| Fax Number | 4844557186 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST,OW |
|---|---|
| Authorized Official Name | Goldsleger Jay |
| Credentials | D.D.S. |
| Telephone Number | 4844543230 |
NPI Number Detail
| NPI Number | 1336202787 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2016-04-28 |
Provider Mailing Address Detail
| Address | 1220 W Chester Pike |
|---|---|
| City | Havertown |
| State | Pennsylvania (PA) |
| Post Code | 190833339 |
| Phone Number | 4844543230 |
| Fax Number | 4844557186 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the Broomall Pediatric Dentistry & Orthodontics,P.C.'s 1336202787?
The Broomall Pediatric Dentistry & Orthodontics,P.C.'s NPI (National Provider Identifier) Number is 1336202787. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Broomall Pediatric Dentistry & Orthodontics,P.C. is geographically located?
The Broomall Pediatric Dentistry & Orthodontics,P.C. is physically situated at the following location: 1220 W Chester Pike, Havertown, PA, 190833339.
What is the Broomall Pediatric Dentistry & Orthodontics,P.C.'s specialty and taxonomy code?
The Broomall Pediatric Dentistry & Orthodontics,P.C.'s specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336202787 to Broomall Pediatric Dentistry & Orthodontics,P.C.?
The Centers for Medicare & Medicaid Services originally issued the 1336202787 to Broomall Pediatric Dentistry & Orthodontics,P.C. on 2006-12-18.
When was the information regarding Broomall Pediatric Dentistry & Orthodontics,P.C. most recently updated?
The details pertaining to the Broomall Pediatric Dentistry & Orthodontics,P.C., including its address, specialty, and other relevant information, were last refreshed on 2016-04-28.
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