DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MODERN DENTAL PROFESSIONALS PHILADELPHA PC

Active Organization

MODERN DENTAL PROFESSIONALS PHILADELPHA PC is a General Dentistry organization located in BOOTHWYN, Pennsylvania. NPI 1871651992 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BOOTHWYN, PA

Registration Details

NPI Number
1871651992
Provider Type
Organization
NPI Issued
Dec 4, 2006 (19.509154342461 yrs)
Last Updated
Aug 22, 2020
License
22D102138300 (PA)

Practice Information

Address
1440 CONCHESTER HWY
BOOTHWYN, PA, 190612124
Browse PA providers · Browse ZIP 19061
Phone
6104590845
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.