| Ccd Ardmore Family Dentistry, Llc | |
|
636 Wynnewood Rd Ardmore PA 19003-2626 | |
| (610) 642-7024 | |
| (610) 642-0658 |
| Full Name | Ccd Ardmore Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 636 Wynnewood Rd, Ardmore, Pennsylvania |
| Authorized Official Name and Position | Beth Walsh (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6106427024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccd Ardmore Family Dentistry, Llc 636 Wynnewood Rd Ardmore PA 19003-2626 Ph: (610) 642-7024 | Ccd Ardmore Family Dentistry, Llc 636 Wynnewood Rd Ardmore PA 19003-2626 Ph: (610) 642-7024 |
| NPI Number | 1952872228 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 08/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952872228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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