Provider Demographics
NPI:1033278452
Name:ADVANCED FAMILY DENTISITRY P.C.
Entity Type:Organization
Organization Name:ADVANCED FAMILY DENTISITRY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BHASKAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVANI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-388-4466
Mailing Address - Street 1:8 POND'S EDGE DRIVE
Mailing Address - Street 2:SUITE#2
Mailing Address - City:CHADD'S FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317
Mailing Address - Country:US
Mailing Address - Phone:610-388-4466
Mailing Address - Fax:610-388-5808
Practice Address - Street 1:8 POND'S EDGE DRIVE
Practice Address - Street 2:SUITE#2
Practice Address - City:CHADD'S FORD
Practice Address - State:PA
Practice Address - Zip Code:19317
Practice Address - Country:US
Practice Address - Phone:610-388-4466
Practice Address - Fax:610-388-5808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-029417-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty