Organization
BROAD AXE FAMILY DENTISTRY
Active
Parent organization
HERSHMAN FAMILY DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERSHMAN FAMILY DENTISTRY
Authorized official
DR. JESSICA M HERSHMAN DMD (DENTIST)
(215) 643-9858
Entity
Organization
Contact information
Practice address
6198 BUTLER PIKE, SUITE 140, BLUE BELL, PA 19422-2600
(215) 643-9858
(215) 643-9882
Mailing address
6198 BUTLER PIKE, SUITE 140, BLUE BELL, PA 19422-2600
(215) 643-9858
(215) 643-9882
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS039091
PA
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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