MEDICARE: FARM PARK PEDIATRIC DENTISTRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry

General Provider Information

NPI Number	:	1982267084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARM PARK PEDIATRIC DENTISTRY

Provider Business Mailing Address
First Line	:	4055 RIDGE AVE APT 8406
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19129-1666
Country	:	US
Telephone Number	:	347-546-5215
Fax Number	:

Provider Business Practice Location Address
First Line	:	502 W GERMANTOWN PIKE STE 100
Second Line	:
City	:	EAST NORRITON
State	:	PA
Zip	:	19403-4232
Country	:	US
Telephone Number	:	484-531-7620
Fax Number	:

Authorized Official
Title or Position	:	DENTIST OWNER
Name	:	DR. NGOZI OKOH
Credential	:	DMD
Telephone Number	:	347-546-5215

Provider Enumeration Date	:	04/15/2019
Last Update Date	:	04/15/2019

Similar Medicare Providers

1427504984 — EMILY SLOOK MSW LSW
Practice Location Address:

502 W GERMANTOWN PIKE
EAST NORRITON, PA
19403-4232

Practice Phone: 610-275-2020
Practice Fax:

1942937974 — ALLISON KEIDAT LCSW
Practice Location Address:

502 W GERMANTOWN PIKE
EAST NORRITON, PA
19403-4232

Practice Phone: 610-275-2020
Practice Fax:

1356991202 — PATRY RODRIGUEZ LPC
Practice Location Address:

502 W GERMANTOWN PIKE
NORRISTOWN, PA
19403-4232

Practice Phone: 484-769-9476
Practice Fax:

1417948928 — DR. AMR SHADY MD
Practice Location Address:

5015 CAMPUSWOOD DR STE 207
EAST SYRACUSE, NY
13057-4232

Practice Phone: 315-541-4445
Practice Fax: 315-541-4430

1770675449 — LATIMER COUNTY HOME HEALTH CARE AGENCY
Practice Location Address:

202 EAST MAIN
WILBURTON, OK
74578-4232

Practice Phone: 918-465-4241
Practice Fax: 918-465-5795

1871916932 — HAYES FAMILY DENTISTRY
Practice Location Address:

3823 HWY 80 EAST , SUITE 400
PEARL, MS
39208-4232

Practice Phone: 601-664-9300
Practice Fax: 601-664-1977

Directions to “FARM PARK PEDIATRIC DENTISTRY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.