| Edgewood Dental Llc | |
|
301 Oxford Valley Rd Suite 1105a Yardey PA 19067 | |
| (215) 493-7000 | |
| (215) 493-7002 |
| Full Name | Edgewood Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 301 Oxford Valley Rd, Yardey, Pennsylvania |
| Authorized Official Name and Position | Antoinette Slavin (OFFICE MANAGER) |
| Authorized Official Contact | 2154937000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgewood Dental Llc 301 Oxford Valley Rd Suite 1105a Yardey PA 19067 Ph: (215) 493-7000 | Edgewood Dental Llc 301 Oxford Valley Rd Suite 1105a Yardey PA 19067 Ph: (215) 493-7000 |
| NPI Number | 1679682298 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679682298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS026744L (Pennsylvania) | Secondary |
| 122300000X | Dentist | DS028968L (Pennsylvania) | Secondary |
| 122300000X | Dentist | DS028078L (Pennsylvania) | Primary |