Provider Demographics
NPI:1366067324
Name:FAMILY DENTISTRY OF WEST CHESTER PC
Entity type:Organization
Organization Name:FAMILY DENTISTRY OF WEST CHESTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:DUDHAT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-997-2300
Mailing Address - Street 1:1544 PAOLI PIKE
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-6123
Mailing Address - Country:US
Mailing Address - Phone:215-390-3488
Mailing Address - Fax:
Practice Address - Street 1:1544 PAOLI PIKE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-6123
Practice Address - Country:US
Practice Address - Phone:610-696-7066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental