Provider Demographics
NPI:1669541249
Name:PREVENTADENT ASSOCIATES
Entity type:Organization
Organization Name:PREVENTADENT ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARNTER
Authorized Official - Prefix:DR
Authorized Official - First Name:GRAHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:215-646-1665
Mailing Address - Street 1:602 S BETHLEHEM PIKE
Mailing Address - Street 2:BUILDING A-1
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-5800
Mailing Address - Country:US
Mailing Address - Phone:215-646-1665
Mailing Address - Fax:215-646-2991
Practice Address - Street 1:602 S BETHLEHEM PIKE
Practice Address - Street 2:BUILDING A-1
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-5800
Practice Address - Country:US
Practice Address - Phone:215-646-1665
Practice Address - Fax:215-646-2991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty