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NPI Code Detail

MEDICARE: CHALFONT DENTISTRY PC

MEDICARE: CHALFONT DENTISTRY PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1063890143
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHALFONT DENTISTRY PC
Provider Business Mailing Address
First Line : 3425 LIMEKILN PIKE STE 5
Second Line :
City : CHALFONT
State : PA
Zip : 18914-3602
Country : US
Telephone Number : 215-997-4434
Fax Number :
Provider Business Practice Location Address
First Line : 3425 LIMEKILN PIKE STE 5
Second Line :
City : CHALFONT
State : PA
Zip : 18914-3602
Country : US
Telephone Number : 215-997-4434
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : SINDHU GUNDABATHULA
Credential :
Telephone Number : 215-997-4434
Provider Enumeration Date : 05/11/2015
Last Update Date : 05/11/2015

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Directions to “CHALFONT DENTISTRY PC ” Practice Location

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