MEDICARE: NEUMAN DENTAL ASSOCIATES

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	DS026254L	PA

General Provider Information

NPI Number	:	1699944470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUMAN DENTAL ASSOCIATES

Provider Business Mailing Address
First Line	:	1100 W VALLEY RD
Second Line	:	SUITE 3
City	:	WAYNE
State	:	PA
Zip	:	19087-1447
Country	:	US
Telephone Number	:	610-688-2266
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 W VALLEY RD
Second Line	:	SUITE 3
City	:	WAYNE
State	:	PA
Zip	:	19087-1447
Country	:	US
Telephone Number	:	610-688-2266
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NEAL S. NEUMAN
Credential	:	D.M.D.
Telephone Number	:	610-688-2266

Provider Enumeration Date	:	02/26/2008
Last Update Date	:	02/26/2008

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