Provider Demographics
NPI:1366676124
Name:AC DENTAL OF LANGHORNE, PC
Entity Type:Organization
Organization Name:AC DENTAL OF LANGHORNE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUNJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SETH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-269-6525
Mailing Address - Street 1:110 LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:FAIRLESS HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19030-1011
Mailing Address - Country:US
Mailing Address - Phone:215-269-6525
Mailing Address - Fax:215-269-6528
Practice Address - Street 1:110 LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:FAIRLESS HILLS
Practice Address - State:PA
Practice Address - Zip Code:19030-1011
Practice Address - Country:US
Practice Address - Phone:215-269-6525
Practice Address - Fax:215-269-6528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS036386261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental