Organization
BSD - BETHLEHEM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
627 W BROAD ST, BETHLEHEM, PA 18018-5220
(610) 691-6200
Mailing address
627 W BROAD ST, BETHLEHEM, PA 18018-5220
(610) 691-6200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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