Healthcare Provider Details

I. General information

NPI: 1144367293
Provider Name (Legal Business Name): HIGHPOINT PEDIATRIC DENTAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 HORIZON DR . SUITE 101
CHALFONT PA
18914
US

IV. Provider business mailing address

1600 HORIZON DRIVE SUITE 101
CHALFONT PA
18914
US

V. Phone/Fax

Practice location:
  • Phone: 215-822-4042
  • Fax:
Mailing address:
  • Phone: 215-822-4042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. IBRAHIM DURRA
Title or Position: OWNER - DENTIST
Credential: D.M.D
Phone: 215-822-4042