Healthcare Provider Details

I. General information

NPI: 1932445640
Provider Name (Legal Business Name): A-1 FAMILY DENTISTRY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2012
Last Update Date: 04/17/2021
Certification Date: 04/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 COMMERCE DR SUITE 108
FORT WASHINGTON PA
19034-2714
US

IV. Provider business mailing address

401 COMMERCE DR SUITE 108
FORT WASHINGTON PA
19034-2714
US

V. Phone/Fax

Practice location:
  • Phone: 215-550-4590
  • Fax:
Mailing address:
  • Phone: 215-550-4590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: ERIC TURNER
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 215-550-4590