# NAVY YARD DENTAL ASSOCIATES, PLLC

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

## Provider details

- **NPI number:** 1952947152
- **Authorized official:** MR. DOUGLAS GREENFIELD (COMPLIANCE OFFICER)
- **Authorized official phone:** (215) 398-4750

## Contact information

- **Practice address:** 1 CRESCENT DR STE 300, PHILADELPHIA, PA 19112-1015
- **Practice address phone:** (215) 398-4750
- **Practice address fax:** (215) 398-1036
- **Mailing address:** 330 MIDDLETOWN BLVD STE 401, LANGHORNE, PA 19047-3204
- **Mailing address phone:** (215) 422-3647
- **Mailing address fax:** (215) 987-4662

## Taxonomy

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

## Other

- **Enumeration date:** 11/22/2019
- **Last updated:** 11/22/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 6907448 | PA BUSINESS ENTITY | PA |