Main Line Dental Group Pc in Wayne - Prosthodontics
Main Line Dental Group Pc - NPI 1679618433
Main Line Dental Group Pc is a Prosthodontics in Wayne, Pennsylvania. Main Line Dental Group Pc practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Main Line Dental Group Pc is 1679618433. The last update date is 2012-07-19.
Main Line Dental Group Pc's current location address is 744 W Lancaster Ave, Wayne, Pennsylvania. You can contact this provider via phone number 6109710717 and fax number 6109719781. The mailing address for Main Line Dental Group Pc is 744 W Lancaster Ave, Wayne, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Main Line Dental Group Pc |
|---|---|
| Address | 744 W Lancaster Ave, Wayne, Pennsylvania |
| Phone Number | 6109710717 |
| Fax Number | 6109719781 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRES |
|---|---|
| Authorized Official Name | Williams Craig Ronald |
| Credentials | DMD |
| Telephone Number | 6109710717 |
NPI Number Detail
| NPI Number | 1679618433 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2012-07-19 |
Provider Mailing Address Detail
| Address | 744 W Lancaster Ave |
|---|---|
| City | Wayne |
| State | Pennsylvania (PA) |
| Post Code | 190872523 |
| Phone Number | 6109710717 |
| Fax Number | 6109719781 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | DS022342L |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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What is the unique 10-digit identification code issued to Main Line Dental Group Pc by the Centers for Medicare & Medicaid Services?
The Main Line Dental Group Pc has been assigned the NPI (National Provider Identifier) 1679618433 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Main Line Dental Group Pc is located?
The Main Line Dental Group Pc is situated at the following address: 744 W Lancaster Ave, Wayne, PA, 190872523.
What is Main Line Dental Group Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Main Line Dental Group Pc is Prosthodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0700X.
On what date did the Main Line Dental Group Pc receive the assignment of its 1679618433 from the Centers for Medicare & Medicaid Services?
The Main Line Dental Group Pc was issued its 1679618433 by the Centers for Medicare & Medicaid Services on 2007-02-20.
As of what date were the details pertaining to Main Line Dental Group Pc last refreshed?
The information related to the Main Line Dental Group Pc, including its address, specialty, and other relevant details, was last updated on 2012-07-19.