Healthcare Provider Details

I. General information

NPI: 1497618466
Provider Name (Legal Business Name): DENTAL STUDIO OF DREXEL HILL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2025
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4207 STATE RD
DREXEL HILL PA
19026-3321
US

IV. Provider business mailing address

4207 STATE RD
DREXEL HILL PA
19026-3321
US

V. Phone/Fax

Practice location:
  • Phone: 610-789-4066
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. BHUMIKA THUMAR
Title or Position: MANAGER
Credential:
Phone: 610-789-4066