Provider Demographics
NPI:1750555371
Name:NEW HOPE COSMETIC & FAMILY DENTISTRY, PC
Entity type:Organization
Organization Name:NEW HOPE COSMETIC & FAMILY DENTISTRY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:RICKERT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-862-2525
Mailing Address - Street 1:135 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-1316
Mailing Address - Country:US
Mailing Address - Phone:215-862-2525
Mailing Address - Fax:
Practice Address - Street 1:135 N MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:PA
Practice Address - Zip Code:18938-1316
Practice Address - Country:US
Practice Address - Phone:215-862-2525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS030603L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty