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Contact Information

IMAGE DENTAL PC
600 E TOWNSHIP LINE ROAD
FIRST FLOOR
HAVERTOWN, PA19083
 Phone: 610-789-0888
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for IMAGE DENTAL PC

NPI Number 1083963672
LBN Legal business name IMAGE DENTAL PC
Authorized official YULING HE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/29/2012
Last updated 08/29/2012 - About 14 years ago
Identifiers
PA License # DS037476
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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