Provider Demographics
NPI:1669678769
Name:HAROLD B YAFFE DDS PAUL J BERSON DDS
Entity Type:Organization
Organization Name:HAROLD B YAFFE DDS PAUL J BERSON DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:B
Authorized Official - Last Name:YAFFE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:215-567-0800
Mailing Address - Street 1:1601 WALNUT ST
Mailing Address - Street 2:SUITE 704
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102
Mailing Address - Country:US
Mailing Address - Phone:215-567-0800
Mailing Address - Fax:215-567-6244
Practice Address - Street 1:1601 WALNUT ST
Practice Address - Street 2:SUITE 704
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102
Practice Address - Country:US
Practice Address - Phone:215-567-0800
Practice Address - Fax:215-567-6244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty