# CHESTER COUNTY COMMUNITY DENTAL CENTER

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

## Provider details

- **NPI number:** 1124216650
- **Authorized official:** DR. DONALD PRICE DTH (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (610) 383-3888

## Contact information

- **Practice address:** 1131 OLIVE ST, COATESVILLE, PA 19320-3518
- **Practice address phone:** (610) 383-3888
- **Practice address fax:** (610) 383-4688
- **Mailing address:** 1131 OLIVE ST, COATESVILLE, PA 19320-3518
- **Mailing address phone:** (610) 383-3888
- **Mailing address fax:** (610) 383-4688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/10/2007
- **Last updated:** 10/10/2007
