Organization
NAVY YARD DENTAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS GREENFIELD (COMPLIANCE OFFICER)
(215) 398-4750
Entity
Organization
Contact information
Practice address
1 CRESCENT DR STE 300, PHILADELPHIA, PA 19112-1015
(215) 398-4750
(215) 398-1036
Mailing address
330 MIDDLETOWN BLVD STE 401, LANGHORNE, PA 19047-3204
(215) 422-3647
(215) 987-4662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6907448
PA BUSINESS ENTITY
PA
Enumeration date
11/22/2019
Last updated
11/22/2019
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