| Champion Dentistry Inc | |
|
1172 N 63rd St Philadelphia PA 19151-3208 | |
| (215) 473-4717 | |
| Not Available |
| Full Name | Champion Dentistry Inc |
|---|---|
| Speciality | Dentist |
| Location | 1172 N 63rd St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Charles W Champion (OWNER) |
| Authorized Official Contact | 2154734717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Champion Dentistry Inc 1172 N 63rd St Philadelphia PA 19151-3208 Ph: (215) 473-4717 | Champion Dentistry Inc 1172 N 63rd St Philadelphia PA 19151-3208 Ph: (215) 473-4717 |
| NPI Number | 1457940272 |
|---|---|
| Provider Enumeration Date | 01/15/2021 |
| Last Update Date | 02/24/2021 |
| Medicare PECOS PAC ID | 9830506476 |
|---|---|
| Medicare Enrollment ID | O20210329000823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457940272 | NPI | - | NPPES |
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