Organization
JUDITH MCFADDEN
Active
Other names
Dental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH ANN MCFADDEN DMD (OWNER PRACTITIONER)
(215) 739-3100
Entity
Organization
Contact information
Practice address
3386 MEMPHIS STREET, PHILADELPHIA, PA 19134
(215) 739-3100
(215) 739-6528
Mailing address
3386 MEMPHIS STREET, PHILADELPHIA, PA 19134
(215) 739-3100
(215) 739-6528
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS022832L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE544034
PA BLUE SHIELD
PA
Enumeration date
08/10/2006
Last updated
10/08/2013
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