Provider Demographics
NPI:1265758015
Name:DENTAL FIRST INC.
Entity type:Organization
Organization Name:DENTAL FIRST INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:FENNELL
Authorized Official - Last Name:DEMPSEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-471-9620
Mailing Address - Street 1:3900 FORD ROAD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131
Mailing Address - Country:US
Mailing Address - Phone:215-471-9620
Mailing Address - Fax:
Practice Address - Street 1:3900 FORD RD
Practice Address - Street 2:SUITE 12
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-2039
Practice Address - Country:US
Practice Address - Phone:215-471-9620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028820L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty