Organization Name: | SILVERDALE DENTISTRY |
NPI Number: | 1457376477 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ADAM ROSS KRATCHMAN (DENTIST/PRESIDENT) |
Mailing Address: | 1000 E Walnut St Suite 301 Perkasie |
State: | PA US |
Postal Code: | 189445444 |
Phone Number: | 2154535212 |
Fax Number: | 2154539212 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 08/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | DS031486L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |