Provider Demographics
NPI:1336384312
Name:COMFORT FAMILY DENTAL CARE, PC
Entity Type:Organization
Organization Name:COMFORT FAMILY DENTAL CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZHENG
Authorized Official - Middle Name:
Authorized Official - Last Name:YAO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-738-8866
Mailing Address - Street 1:209 FOUR IN HAND CT
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-6145
Mailing Address - Country:US
Mailing Address - Phone:610-500-9842
Mailing Address - Fax:610-738-8868
Practice Address - Street 1:845 W CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-4878
Practice Address - Country:US
Practice Address - Phone:610-738-8866
Practice Address - Fax:610-738-8868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029784-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty