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Contact Information

CCD BROOKWOOD, LLC
2 COWPATH RD.
LANSDALE, PA19446
 Phone: 215-368-2424
 Fax: 215-361-7292
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Endodontics

1223E0200X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for CCD BROOKWOOD, LLC

NPI # 1154876019
LBN Legal business name CCD BROOKWOOD, LLC
Authorized official JOHN BUTTON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/22/2016
Last updated 12/26/2024 - More than a year ago
Identifiers n/a
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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