MEDICARE: ACUMEN DENTAL, P.C.

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
1	122300000X	Dentist	DS029122Y	PA

General Provider Information

NPI Number	:	1194948836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACUMEN DENTAL, P.C.

Provider Business Mailing Address
First Line	:	1133 COTTMAN AVENUE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-3647
Country	:	US
Telephone Number	:	215-742-7139
Fax Number	:	215-742-7139

Provider Business Practice Location Address
First Line	:	1133 COTTMAN AVENUE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-3647
Country	:	US
Telephone Number	:	215-742-7139
Fax Number	:	215-742-7139

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DIANE FENG
Credential	:	D.M.D.
Telephone Number	:	215-742-7139

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	08/22/2020

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