# BRANDYWINE DENTAL SERVICES GROUP

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

## Provider details

- **NPI number:** 1588864631
- **Authorized official:** DR. BRUCE FAY DDS (PRESIDENT)
- **Authorized official phone:** (610) 459-1344

## Contact information

- **Practice address:** 1731 WILMINGTON PIKE, GLEN MILLS, PA 19342-8169
- **Practice address phone:** (610) 459-1344
- **Practice address fax:** (610) 459-0310
- **Mailing address:** 1731 WILMINGTON PIKE, GLEN MILLS, PA 19342-8169
- **Mailing address phone:** (610) 459-1344
- **Mailing address fax:** (610) 459-0310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | G10000981 | DE | Yes |

## Other

- **Enumeration date:** 07/18/2007
- **Last updated:** 07/18/2007