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Contact Information

ADELPHIA DENTAL MANAGEMENT GROUP, LLC
10125 VERREE RD
SUITE 101
PHILADELPHIA, PA19116-3611
 Phone: 215-277-2177
 Fax: 267-689-8990
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADELPHIA DENTAL MANAGEMENT GROUP LLC · (Female)

NPI # 1720450190
Status Active
Credentials
Entity Individual
Enumeration date 10/26/2015
Last updated 02/19/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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