# ACADEMY FAMILY DENTAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063770378
- **Authorized official:** DR. JUNAID K CHAUDHRY DMD (PRESIDENT)
- **Authorized official phone:** (215) 637-7474

## Contact information

- **Practice address:** 10431 ACADEMY RD, SUITE A, PHILADELPHIA, PA 19114-1126
- **Practice address phone:** (215) 637-7474
- **Practice address fax:** (215) 637-4408
- **Mailing address:** 10431 ACADEMY RD, SUITE A, PHILADELPHIA, PA 19114-1126
- **Mailing address phone:** (215) 637-7474
- **Mailing address fax:** (215) 637-4408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS029793L | PA | Yes |
| 124Q00000X | Dental Hygienist | DH070997 | PA | — |

## Other

- **Enumeration date:** 04/25/2012
- **Last updated:** 04/25/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DS029793L | DENTAL LICENSE STATE OF PENNSYLVANIA | PA |