# ADELPHIA DENTAL MANAGEMENT

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

## Provider details

- **NPI number:** 1992182497
- **Authorized official:** MICHAEL ALEXANDER (PRACTICE MANAGER)
- **Authorized official phone:** (215) 259-5655

## Contact information

- **Practice address:** 1507 W PASSYUNK AVE, PHILADELPHIA, PA 19145-3029
- **Practice address phone:** (215) 259-5655
- **Practice address fax:** (267) 553-4444
- **Mailing address:** 1507 W PASSYUNK AVE, PHILADELPHIA, PA 19145-3029
- **Mailing address phone:** (215) 259-5655
- **Mailing address fax:** (267) 553-4444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2015
- **Last updated:** 05/04/2015