CCD ARDMORE FAMILY DENTISTRY, LLC (NPI# 1952872228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952872228 |
| Entity Type | Organization |
| Organization Name | CCD ARDMORE FAMILY DENTISTRY, LLC |
| Practice Address |
636 Wynnewood Rd Ardmore PA 19003-2626 |
| Practice Telephone | 6106427024 |
| Practice Fax Number | 6106420658 |
| Mailing Telephone | 6106427024 |
| Mailing Fax Number | 6106420658 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2020-08-19 |
| Authorized Official Name | MS. BETH WALSH (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 6106427024 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| The Office of Dr. Bellisario | Doing Business As Name - Organization |
| Street Address |
636 WYNNEWOOD RD |
| City | ARDMORE |
| State | PA |
| Zip Code | 19003-2626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881773836 | Jeffrey Allen Bellisario | Dentist | 636 Wynnewood Rd, Ardmore, PA 19003-2626 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396231973 | Ann's Professional Home Care, LLC. | Home Health | 119 Coulter Ave Ste 210, Ardmore, PA 19003 | 2018-07-06 |
| 1154864247 | Renee Suzanne Downey | Counselor | 63 W. Lancaster Ave., Suite 2, Ardmore, PA 19003 | 2016-11-22 |
| 1972908739 | Teleradiology Solutions PC | Clinic/Center | 22 Lianfair Road, Unit 6, Ardmore, PA 19003 | 2014-10-23 |
| 1194120832 | Lindsay Coffman | Nurse Practitioner | 610 West Lancaster Avenue, Ardmore, PA 19003 | 2014-10-23 |
| 1306247143 | Samantha Hunsicker | Social Worker | 9 Cricket Terrace Ctr, Ardmore, PA 19003 | 2014-09-11 |
| 1730514050 | Ultimate Hearing Solutions | Audiologist-Hearing Aid Fitter | 14 Greenfield Avenue, Ardmore, PA 19003 | 2013-09-05 |
| 1861831455 | See Inc | Optometrist | 39 Coulter, Ardmore, PA 19003 | 2013-06-18 |
| 1265740518 | Nicole Quigley Finnegan | Occupational Therapist | 120 Saint Pauls Rd, Ardmore, PA 19003 | 2010-09-21 |
| 1588989719 | Paul Maury Prusky | Family Medicine | 25 East Athens Ave, Ardmore, PA 19003 | 2010-03-31 |
| 1790017333 | Dongxiao Liu | Acupuncturist | 2 W. Lancaster Ave, Ardmore, PA 19003 | 2010-02-08 |
| Find all providers in zip 19003 | ||||
| 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 |
|---|---|---|---|---|
| 1063025336 | Vaughan Family Dentistry, PC | Dentist | 27001 Main St., Ardmore, TN 38449 | 2020-08-26 |
| 1538721675 | Rishu Kumar Batta | Dentist | 2517 Westwood Ct, Ardmore, OK 73401-2265 | 2019-06-28 |
| 1750701603 | Okc Dental Health Associates, P.C. | Dentist | 2401 12th Ave Nw Ste 103, Ardmore, OK 73401-1471 | 2014-04-18 |
| 1427344738 | Storts Family Dentistry, Jesse D. Storts, Jr. PC | Dentist | 1220 Merrick Dr, Ardmore, OK 73401-1824 | 2011-06-24 |
| 1962798595 | Sudberry Dental | Dentist | 1520 N Commerce St Ste A, Ardmore, OK 73401-1858 | 2011-06-22 |
| 1760627145 | Lindsey Field Marshall | Dentist | 602 The Times Building, 22 Parking Plaza, Ardmore, PA 19003 | 2008-12-12 |
| 1801081534 | Thomas Blake Sudberry | Dentist | 615 N. Commerce, Ardmore, OK 73401 | 2007-09-06 |
| 1356557367 | Dan Charles Mccarel | Dentist | 665 Ardmore Ave, Ardmore, PA 19003-1836 | 2007-05-15 |
| 1740309368 | Mary Sidawi | Dentist | 83 Llanfair Cir, Ardmore, PA 19003-3342 | 2007-03-28 |
| 1710027131 | Les Ledbetter | Dentist | 1524 N Commerce, Ardmore, OK 73401 | 2007-02-07 |
| Find all providers in ARDMORE | ||||
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| 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.