Edward Joseph Chermol III, D.M.D., P.C.
Individual provider Active NPI Dentist · Newtown Square, PA
NPI 1598842486 · NPPES record last updated May 14, 2013
Key facts
- NPI
- 1598842486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS027259L (PA)
- Practice address
- 3501 W Chester Pike
Suite 102
Newtown Square, PA 19073-3704 - Phone
- (610) 353-0500
- Fax
- (610) 353-1345
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS027259L | PA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS027259L | PA | Yes |
Addresses
Primary practice location
3501 W Chester Pike
Suite 102
Newtown Square, PA 19073-3704
Mailing address
3501 W Chester Pike
Suite 102
Newtown Square, PA 19073-3704
Phone (610) 353-0500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027259 | Other | PA | LICENSCE NUMBER |
Other providers in Newtown Square, PA
- Jenna Nicole Casasanto
- Barbara-Lee Catania
- Tara Chadwick
- Emily Bernbaum Chaffin
- Katherine Chaves
- Tyece Cherry
- Susan M. Chialastri
- Children'S Dental Health Associates
- James Childress
- George I Chovanes
All providers in Newtown Square, PA · Dentist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.