Provider Demographics
NPI:1184782344
Name:SIGNATURE DENTAL OF BUCKS COUNTY PC
Entity type:Organization
Organization Name:SIGNATURE DENTAL OF BUCKS COUNTY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:VALEN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-443-7373
Mailing Address - Street 1:1411 WEST STREET ROAD
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974
Mailing Address - Country:US
Mailing Address - Phone:215-443-7373
Mailing Address - Fax:215-443-5741
Practice Address - Street 1:1411 WEST STREET ROAD
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974
Practice Address - Country:US
Practice Address - Phone:215-443-7373
Practice Address - Fax:215-443-5741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-025010-L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty