Healthcare Provider Details

I. General information

NPI: 1134251580
Provider Name (Legal Business Name): DAVID A. BRESLER DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 02/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 RIDGE AVE
PHILADELPHIA PA
19128-2446
US

IV. Provider business mailing address

6801 RIDGE AVE
PHILADELPHIA PA
19128-2446
US

V. Phone/Fax

Practice location:
  • Phone: 215-483-6633
  • Fax: 215-483-7909
Mailing address:
  • Phone: 215-483-6633
  • Fax: 215-483-7909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CYNTHIA INJAIAN
Title or Position: FINANCIAL DIRECTOR
Credential:
Phone: 215-483-6633