# AMITY DENTISTRY, LLC

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

## Provider details

- **NPI number:** 1346693850
- **Authorized official:** KRYSTLE H CHUONG D.D.S. (DOCTOR/OWNER)
- **Authorized official phone:** (610) 385-0022

## Contact information

- **Practice address:** 957 BEN FRANKLIN HWY W, DOUGLASSVILLE, PA 19518-1037
- **Practice address phone:** (610) 385-0022
- **Practice address fax:** (610) 385-0025
- **Mailing address:** 957 BEN FRANKLIN HWY W, DOUGLASSVILLE, PA 19518-1037
- **Mailing address phone:** (610) 385-0022
- **Mailing address fax:** (610) 385-0025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS-028367L | PA | — |
| 1223G0001X | General Practice Dentistry | DS-028827L | PA | Yes |

## Other

- **Enumeration date:** 07/20/2016
- **Last updated:** 07/20/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 761563 | UNITED CONCORIDA DENTAL | PA |