Provider Demographics
NPI:1629427547
Name:BEJEL, BRITTANY (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:
Last Name:BEJEL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 N SUMNEYTOWN PIKE STE 2B
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-2530
Mailing Address - Country:US
Mailing Address - Phone:215-699-4477
Mailing Address - Fax:215-699-5570
Practice Address - Street 1:311 N SUMNEYTOWN PIKE STE 2B
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-2530
Practice Address - Country:US
Practice Address - Phone:305-338-4463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-10
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI026416001223G0001X
PADS0407831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice