Provider Demographics
NPI:1912034331
Name:WARRINGTON FAMILY DENTAL INC
Entity Type:Organization
Organization Name:WARRINGTON FAMILY DENTAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:RICCA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-491-2139
Mailing Address - Street 1:1432 EASTON RD
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:WARRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18976
Mailing Address - Country:US
Mailing Address - Phone:215-491-2139
Mailing Address - Fax:215-491-8649
Practice Address - Street 1:1432 EASTON RD
Practice Address - Street 2:SUITE 1C
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976
Practice Address - Country:US
Practice Address - Phone:215-491-2139
Practice Address - Fax:215-491-8649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS035078122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty