Champion Dentistry Inc

LBN: Champion Dentistry Inc
Champion Dentistry Inc is an health care organization with primary practice located at 1172 N 63Rd St , Philadelphia PA 19151-3208. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Suppliers / Customized Equipment. Dental Providers / General Practice is the primary health care specialty. Champion Dentistry Inc can be contacted via phone (215) 473-4717, or through Champion, Charles W via phone (215) 473-4717.

Contact Information

Primary practice address
1172 N 63Rd St Philadelphia PA 19151-3208
Phone: (215) 473-4717
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Champion, Charles W Doctor of Dental Surgery (DDS)
Phone: (215) 473-4717

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1457940272
LBN Legal business name Champion Dentistry Inc
DBA Doing business as
Authorized official Champion, Charles W Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2021
Last updated Feb 24th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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