Healthcare Provider Details

I. General information

NPI: 1881966125
Provider Name (Legal Business Name): AMERICAN FAMILY DENTAL CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2012
Last Update Date: 02/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 W WALNUT ST
LANCASTER PA
17603-3015
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 717-394-4466
  • Fax:
Mailing address:
  • Phone: 267-460-4254
  • Fax: 215-646-6369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BHASKAR SAVANI
Title or Position: DMD
Credential:
Phone: 267-460-4254