Provider Demographics
NPI:1124041561
Name:CHILDREN'S DENTAL HEALTH ASSOCIATES
Entity Type:Organization
Organization Name:CHILDREN'S DENTAL HEALTH ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:FELIX
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-388-2131
Mailing Address - Street 1:519 BALTIMORE PIKE
Mailing Address - Street 2:
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-9304
Mailing Address - Country:US
Mailing Address - Phone:610-388-2131
Mailing Address - Fax:610-388-9817
Practice Address - Street 1:519 BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-9304
Practice Address - Country:US
Practice Address - Phone:610-388-2131
Practice Address - Fax:610-388-9817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-030525-L1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty