Direct Mobile Dental Services, Inc. | |
141 Montgomery Ave Fl 2 Bala Cynwyd PA 19004-2827 | |
(610) 960-8905 | |
(610) 667-4374 |
Full Name | Direct Mobile Dental Services, Inc. |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 141 Montgomery Ave Fl 2, Bala Cynwyd, Pennsylvania |
Authorized Official Name and Position | Steven Melman (PRESIDENT) |
Authorized Official Contact | 6106647795 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Direct Mobile Dental Services, Inc. Po Box 2205 Bala Cynwyd PA 19004-6205 Ph: (610) 960-8905 | Direct Mobile Dental Services, Inc. 141 Montgomery Ave Fl 2 Bala Cynwyd PA 19004-2827 Ph: (610) 960-8905 |
NPI Number | 1669005237 |
---|---|
Provider Enumeration Date | 02/21/2020 |
Last Update Date | 02/21/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669005237 | NPI | - | NPPES |
1034415850003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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Direct Mobile Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Montgomery Ave Fl 1, Bala Cynwyd, PA 19004 Phone: 610-960-8905 | |
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