Provider Demographics
NPI:1598130452
Name:DAVID M KAFFEY DDS PC
Entity Type:Organization
Organization Name:DAVID M KAFFEY DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:KAFFEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:215-368-6636
Mailing Address - Street 1:2032 N BROAD ST
Mailing Address - Street 2:SUITE1
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-1051
Mailing Address - Country:US
Mailing Address - Phone:215-368-6636
Mailing Address - Fax:215-368-9782
Practice Address - Street 1:2032 N BROAD ST
Practice Address - Street 2:SUITE1
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-1051
Practice Address - Country:US
Practice Address - Phone:215-368-6636
Practice Address - Fax:215-368-9782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-03
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029578L261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental