Individual
DR. JEFFREY ALLEN BELLISARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
636 WYNNEWOOD RD, ARDMORE, PA 19003-2626
(610) 642-7024
(610) 642-0658
Mailing address
811 AVONWOOD DRIVE, WAYNE, PA 19087
(610) 687-4945
(610) 971-0622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS021544L
PA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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