# ROBERT BRILLMAN, DDS, PC

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

## Provider details

- **NPI number:** 1861708521
- **Authorized official:** DR. ROBERT BRILLMAN D.D.S. (OWNER/PRESIDENT)
- **Authorized official phone:** (610) 521-1111

## Contact information

- **Practice address:** 204 E CHESTER PIKE, RIDLEY PARK, PA 19078-1730
- **Practice address phone:** (610) 521-1111
- **Practice address fax:** (610) 521-1122
- **Mailing address:** 204 E CHESTER PIKE, RIDLEY PARK, PA 19078-1730
- **Mailing address phone:** (610) 521-1111
- **Mailing address fax:** (610) 521-1122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS-018003-L | PA | Yes |

## Other

- **Enumeration date:** 08/19/2010
- **Last updated:** 08/19/2010