# SPA CREEK DENTAL OF PA LLC

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

## Provider details

- **NPI number:** 1407377690
- **Authorized official:** AMBER LLOYD (ACCOUNTS RECEIVABLE SPECIALIST)
- **Authorized official phone:** (267) 691-2812

## Contact information

- **Practice address:** 626 JACKSONVILLE RD STE 101, WARMINSTER, PA 18974-4861
- **Practice address phone:** (267) 691-2800
- **Practice address fax:** (267) 691-2830
- **Mailing address:** 626 JACKSONVILLE RD STE 101, WARMINSTER, PA 18974-4861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2017
- **Last updated:** 05/28/2021