| Adelphia Dental Management Llc | |
|
10050 Roosevelt Blvd Philadelphia PA 19116-3965 | |
| (215) 277-2177 | |
| (610) 340-9060 |
| Full Name | Adelphia Dental Management Llc |
|---|---|
| Speciality | Dentist |
| Location | 10050 Roosevelt Blvd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | David Williams (CONSULTANT) |
| Authorized Official Contact | 6106190061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adelphia Dental Management Llc 10050 Roosevelt Blvd Philadelphia PA 19116-3965 Ph: (215) 277-2177 | Adelphia Dental Management Llc 10050 Roosevelt Blvd Philadelphia PA 19116-3965 Ph: (215) 277-2177 |
| NPI Number | 1043696875 |
|---|---|
| Provider Enumeration Date | 08/04/2015 |
| Last Update Date | 08/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043696875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1223G0001X (Pennsylvania) | Secondary |
| 122300000X | Dentist | 122300000X (Pennsylvania) | Primary |
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