CHADDS FORD DENTAL VILLAGE (NPI# 1467529511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467529511 |
| Entity Type | Organization |
| Organization Name | CHADDS FORD DENTAL VILLAGE |
| Practice Address |
98 Route 202 At Pa De Line Chadds Ford PA 19317 |
| Practice Telephone | 6104594915 |
| Practice Fax Number | 6104599752 |
| Mailing Telephone | 6104594915 |
| Mailing Fax Number | 6104599752 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SIAD HUSSIEN MOHAMED-ALI (OWNER) |
| Authorized Official Telephone | 6104594915 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS020611L | PA | Dental Providers |
| Street Address |
98 ROUTE 202 AT PA DE LINE |
| City | CHADDS FORD |
| State | PA |
| Zip Code | 19317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134296056 | Fairly Thomas | Dentist | 98 Route 202 At Pa De Line, Chadds Ford, PA 19317 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585102 | Devrick Jamal Cliett Sr. | Technician/Technologist | 225 Wilmington Pike, Suite 200, Chadds Ford, PA 19317 | 2019-12-12 |
| 1891277620 | Donald C. Cameron | General Practice | 718 Kennett Pike, Chadds Ford, PA 19317 | 2018-08-29 |
| 1780105999 | Kathleen Breslin | Clinical Neuropsychologist | 5 Christy Dr Ste 207, Chadds Ford, PA 19317 | 2017-06-28 |
| 1750823951 | Yildiz Omar Shah | Dentist | 8 Ponds Edge Dr Ste 2, Chadds Ford, PA 19317 | 2016-11-06 |
| 1477003531 | Dental Implant & Periodontal Surgeons of Maine Line, P.C. | Dentist | 107 Commons Ct, Chadds Ford, PA 19317 | 2016-10-12 |
| 1528434495 | Judith Js Ochs | Pediatrics | 1213 Fairville Road, Chadds Ford, PA 19317 | 2015-08-14 |
| 1700294626 | Gabrielle Van Heest | Behavioral Analyst | 920 Baltimore Pike, Chadds Ford, PA 19317 | 2014-07-23 |
| 1497199483 | Jill Pagliei LLC | Chiropractor | 220 Wilmington Pike, Suite 4, Chadds Ford, PA 19317 | 2013-04-22 |
| 1285832543 | Kevin Sperling | Internal Medicine | 601 Chadds Ford Drive, Suite 100, Chadds Ford, PA 19317 | 2007-07-10 |
| 1164554804 | Lee Anderson | Psychologist | 260 Kennett Pike, Chadds Ford, PA 19317 | 2007-03-09 |
| Find all providers in zip 19317 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336704899 | Anna C Giacalone Dmd Inc | Dentist | 100 Ridge Rd Ste 36, Chadds Ford, PA 19317-9784 | 2019-05-09 |
| 1891210894 | Joseph F. Desantis,d.m.d. and Associates, LLC | Dentist | 1290 Baltimore Pike Ste 10, Chadds Ford, PA 19317-7361 | 2017-08-10 |
| 1639326523 | Sheenam Bhatla | Dentist | 8 Ponds Edge Dr, Suite# 2, Chadds Ford, PA 19317-9389 | 2008-08-21 |
| 1932307667 | Anne E Eunson | Dentist | 131 Commons Ct, Chadds Ford, PA 19317-9724 | 2007-07-03 |
| 1710191697 | Mariahelena Cordeiro Barboza | Dentist | 275 Wilmington W Chester Pk, Suite111, Chadds Ford, PA 19317-9077 | 2007-05-09 |
| 1629120571 | Robert George Tsaganos | Dentist | 225 Wilmington-west Chester Pike, Suite 102, Chadds Ford, PA 19317 | 2007-01-18 |
| 1134296056 | Fairly Thomas | Dentist | 98 Route 202 At Pa De Line, Chadds Ford, PA 19317 | 2006-11-29 |
| 1306942131 | Jeffrey S Harris Dmd PC | Dentist | 131 Commons Court, Chadds Ford, PA 19317-9724 | 2006-09-16 |
| 1295843530 | Albert Turk | Dentist | 127 Wilmington W Chester Place, Chadds Ford, PA 19317 | 2006-08-28 |
| 1932115185 | Andrew J. Pratt | Dentist | 6 Dickinson Dr, Suite 102, Chadds Ford, PA 19317-9689 | 2006-07-31 |
| Find all providers in CHADDS FORD | ||||
| City | CHADDS FORD |
| Zip Code | 19317 |
Please comment or provide details below to improve the information on CHADDS FORD DENTAL VILLAGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.