MEDICARE: BEST DENTAL CARE PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	1223P0700X	Prosthodontics
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry
3	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1427441906
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST DENTAL CARE PC

Provider Business Mailing Address
First Line	:	118 DICKERSON RD
Second Line	:
City	:	NORTH WALES
State	:	PA
Zip	:	19454-2538
Country	:	US
Telephone Number	:	215-699-9058
Fax Number	:

Provider Business Practice Location Address
First Line	:	118 DICKERSON RD
Second Line	:
City	:	NORTH WALES
State	:	PA
Zip	:	19454-2538
Country	:	US
Telephone Number	:	215-699-9058
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. JAY BOGHARA
Credential	:
Telephone Number	:	215-699-9058

Provider Enumeration Date	:	03/09/2015
Last Update Date	:	03/09/2015

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Directions to “BEST DENTAL CARE PC ” Practice Location

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