| Butler Pike Periodontal Associates, Llc | |
|
140 E Butler Ave Ambler PA 19002-4427 | |
| (267) 643-4393 | |
| Not Available |
| Full Name | Butler Pike Periodontal Associates, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 140 E Butler Ave, Ambler, Pennsylvania |
| Authorized Official Name and Position | Philip L Fava (OWNER) |
| Authorized Official Contact | 2676434393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Butler Pike Periodontal Associates, Llc 140 E Butler Ave Ambler PA 19002-4427 Ph: (267) 643-4393 | Butler Pike Periodontal Associates, Llc 140 E Butler Ave Ambler PA 19002-4427 Ph: (267) 643-4393 |
| NPI Number | 1902377344 |
|---|---|
| Provider Enumeration Date | 12/11/2018 |
| Last Update Date | 12/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902377344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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