Healthcare Provider Details

I. General information

NPI: 1407782246
Provider Name (Legal Business Name): RONALD J BRIGLIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E MARSHALL ST STE 201
WEST CHESTER PA
19380-4453
US

IV. Provider business mailing address

600 E MARSHALL ST STE 201
WEST CHESTER PA
19380-4453
US

V. Phone/Fax

Practice location:
  • Phone: 610-692-4440
  • Fax: 610-692-4440
Mailing address:
  • Phone: 610-692-4440
  • Fax: 610-692-4440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: RONALD JOSEPH BRIGLIA
Title or Position: OWNER
Credential: DMD
Phone: 484-318-1098