# JUDITH MCFADDEN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679584411
- **Authorized official:** DR. JUDITH ANN MCFADDEN DMD (OWNER PRACTITIONER)
- **Authorized official phone:** (215) 739-3100

## Contact information

- **Practice address:** 3386 MEMPHIS STREET, PHILADELPHIA, PA 19134
- **Practice address phone:** (215) 739-3100
- **Practice address fax:** (215) 739-6528
- **Mailing address:** 3386 MEMPHIS STREET, PHILADELPHIA, PA 19134
- **Mailing address phone:** (215) 739-3100
- **Mailing address fax:** (215) 739-6528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS022832L | PA | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 10/08/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DE544034 | PA BLUE SHIELD | PA |