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NPI 1396853883

NPI 1396853883 : AXLER-KESSLER DENTAL ASSOC : PHOENIXVILLE, PA

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General NPI Number Information
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    NPI Number           |    1396853883
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    Entity Type          |    Organization 
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    Legal Business Name  |    AXLER-KESSLER DENTAL ASSOC 
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Dates
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    Enumeration Date     |    08/26/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    1150 VALLEY FORGE RD 
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    City                 |    PHOENIXVILLE
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    State                |    PA
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    Zip                  |    19460
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    Country              |    US
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    Telephone            |    610-933-3342
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    Fax                  |    610-983-9122
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Provider Business Mailing Address
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    Address Line         |    1150 VALLEY FORGE RD 
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    City                 |    PHOENIXVILLE
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    State                |    PA
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    Zip                  |    19460
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    Country              |    US
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    Telephone            |    610-933-3342
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    Fax                  |    610-983-9122
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |     JOSEPH LOUIS SAVERY 
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    Credential           |    
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    Telephone            |    610-933-3342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DS025551L
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    DS016107L
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    DS025528L
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    License Number State |    PA
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Taxonomy #4
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DS035956L
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    License Number State |    PA
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