Organization
ERIC SHELLY, DMD & MARGARET LEE DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC N SHELLY DMD (OWNER)
(610) 696-3371
Entity
Organization
Contact information
Practice address
403 N 5 POINTS RD, WEST CHESTER, PA 19380-4632
(610) 696-3371
(610) 696-5058
Mailing address
403 N 5 POINTS RD, WEST CHESTER, PA 19380-4632
(610) 696-3371
(610) 696-5058
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS026750L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
692499
BLUE SHIELD
PA
Enumeration date
10/18/2006
Last updated
08/22/2020
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