| 2nd Street Pike Family Dental Pc | |
|
730 Second Street Pike Southampton PA 18966-3961 | |
| (215) 364-1488 | |
| (215) 364-1020 |
| Full Name | 2nd Street Pike Family Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 730 Second Street Pike, Southampton, Pennsylvania |
| Authorized Official Name and Position | Rajashekar K Reddy (OWNER) |
| Authorized Official Contact | 2153641488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 2nd Street Pike Family Dental Pc 730 Second Street Pike Southampton PA 18966-3961 Ph: (215) 364-1488 | 2nd Street Pike Family Dental Pc 730 Second Street Pike Southampton PA 18966-3961 Ph: (215) 364-1488 |
| NPI Number | 1023675691 |
|---|---|
| Provider Enumeration Date | 05/20/2019 |
| Last Update Date | 05/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023675691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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