Healthcare Provider Details

I. General information

NPI: 1598125478
Provider Name (Legal Business Name): WAHLERS FAMILY DENTISTRY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2016
Last Update Date: 03/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W GERMANTOWN PIKE
EAST NORRITON PA
19403-4280
US

IV. Provider business mailing address

PO BOX 347
FAIRVIEW VILLAGE PA
19409-0347
US

V. Phone/Fax

Practice location:
  • Phone: 610-539-8425
  • Fax:
Mailing address:
  • Phone: 610-539-8425
  • 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. CHRISTOPHER WAHLERS
Title or Position: PRESIDENT
Credential: DMD
Phone: 610-539-8425