| Ardmore Pediatric Dental Associates Pc | |
|
233 E Lancaster Ave Suite 201 Ardmore PA 19003-2321 | |
| (610) 896-8300 | |
| Not Available |
| Full Name | Ardmore Pediatric Dental Associates Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 233 E Lancaster Ave, Ardmore, Pennsylvania |
| Authorized Official Name and Position | Jay Goldsleger (PRESIDENT) |
| Authorized Official Contact | 6108968300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ardmore Pediatric Dental Associates Pc 596 Lancaster Ave Suite 101 Malvern PA 19355-1808 Ph: (484) 679-4071 | Ardmore Pediatric Dental Associates Pc 233 E Lancaster Ave Suite 201 Ardmore PA 19003-2321 Ph: (610) 896-8300 |
| NPI Number | 1932556925 |
|---|---|
| Provider Enumeration Date | 05/19/2016 |
| Last Update Date | 05/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932556925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DS018777L (Pennsylvania) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DS020687L (Pennsylvania) | Secondary |
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