Provider Demographics
NPI:1831965383
Name:WEST CHESTER DENTAL GROUP LLC
Entity type:Organization
Organization Name:WEST CHESTER DENTAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIJESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:484-804-3858
Mailing Address - Street 1:241 BYERS RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-9506
Mailing Address - Country:US
Mailing Address - Phone:610-890-8783
Mailing Address - Fax:223-244-6733
Practice Address - Street 1:241 BYERS RD
Practice Address - Street 2:
Practice Address - City:CHESTER SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:19425-9506
Practice Address - Country:US
Practice Address - Phone:610-890-8783
Practice Address - Fax:223-244-6733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental