Organization
BUTLER PIKE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E SMITH DDS (DR)
(610) 825-2327
Entity
Organization
Contact information
Practice address
3048 BUTLER PIKE, CONSHOHOCKEN, PA 19428-2107
(610) 825-2327
Mailing address
3048 BUTLER PIKE, CONSHOHOCKEN, PA 19428-2107
(610) 825-2327
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134371438
129075
—
05
—
1134371438
—
PA
Enumeration date
03/20/2020
Last updated
03/20/2020
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