Northeastern Dentistry @ Clifton Heights

LBN: Northeastern Dentistry @ Clifton Heights
Northeastern Dentistry @ Clifton Heights is an health care organization with primary practice located at 44 W Baltimore Ave , Clifton Heights PA 19018-2201. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Northeastern Dentistry @ Clifton Heights can be contacted via phone (610) 622-2684, or through Chadhalavada, Kavitha via phone (856) 325-0560.

Contact Information

Primary practice address
44 W Baltimore Ave Clifton Heights PA 19018-2201
Phone: (610) 622-2684
Fax: (877) 707-5571
Website:
Map and Directions
Authorized official contact:
Name: Chadhalavada, Kavitha
Phone: (856) 325-0560

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS037335 Pennsylvania

Profile Details

NPI number 1881947505
LBN Legal business name Northeastern Dentistry @ Clifton Heights
DBA Doing business as
Authorized official Chadhalavada, Kavitha
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2012
Last updated Jul 30th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881947505 NPPES
Pennsylvania MEDICAID 1020256650008

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