| Epp Pennsylvania Pllc | |
|
1220 Valley Forge Rd Ste 40 Phoenixville PA 19460-2676 | |
| (610) 917-9984 | |
| Not Available |
| Full Name | Epp Pennsylvania Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1220 Valley Forge Rd Ste 40, Phoenixville, Pennsylvania |
| Authorized Official Name and Position | Jason Bertollini (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3154500763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epp Pennsylvania Pllc Po Box 1584 Brentwood TN 37024-1584 Ph: (315) 450-0763 | Epp Pennsylvania Pllc 1220 Valley Forge Rd Ste 40 Phoenixville PA 19460-2676 Ph: (610) 917-9984 |
| NPI Number | 1992526586 |
|---|---|
| Provider Enumeration Date | 10/17/2024 |
| Last Update Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992526586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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