Organization
MAIN LINE DENTAL HEALTH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JEFFERY SNIDER DMD (PRESIDENT OWNER)
(610) 642-6965
Entity
Organization
Contact information
Practice address
100 EAST LANCASTER AVENUE, 664 LANKENAU MEDICAL BUILDING EAST, WYNNEWOOD, PA 19096-3450
(610) 642-6965
(610) 642-0286
Mailing address
100 EAST LANCASTER AVENUE, 664 LANKENAU MEDICAL BUILDING EAST, WYNNEWOOD, PA 19096-3450
(610) 642-6965
(610) 642-0286
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0229251
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
887426
UNITED CONCORDIA
PA
Enumeration date
09/28/2006
Last updated
06/26/2008
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