Provider Demographics
NPI:1558877175
Name:MEDIA FAMILY DENTISTRY, PC
Entity Type:Organization
Organization Name:MEDIA FAMILY DENTISTRY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HITESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SACHDEVA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-350-9912
Mailing Address - Street 1:23 MENDENHALL DR
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-1234
Mailing Address - Country:US
Mailing Address - Phone:610-350-9912
Mailing Address - Fax:
Practice Address - Street 1:214 STATE RD
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-1319
Practice Address - Country:US
Practice Address - Phone:610-566-5322
Practice Address - Fax:610-566-5325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-19
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental