Provider Demographics
NPI:1336611920
Name:BENSALEM BUCKS DENTAL PC
Entity Type:Organization
Organization Name:BENSALEM BUCKS DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JUNAID
Authorized Official - Middle Name:K
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-205-8003
Mailing Address - Street 1:3101 BRISTOL RD STE 6
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-2168
Mailing Address - Country:US
Mailing Address - Phone:215-757-7000
Mailing Address - Fax:
Practice Address - Street 1:3101 BRISTOL RD STE 6
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-2168
Practice Address - Country:US
Practice Address - Phone:215-757-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty