Vibha Bharadwaj, DMD

Individual provider Active NPI General Practice Dentistry · Warminster, PA

NPI 1609396399 · NPPES record last updated Jun 22, 2017

Key facts

NPI
1609396399
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DS041297 (PA)
Practice address
12109 Centennial Sta
Warminster, PA 18974-5488
Phone
(215) 443-0400
NPI assigned
Jun 22, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DS041297PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
4K Family Dental General Practice Past
since Nov 1, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS041297 PA Yes

Addresses

Primary practice location

12109 Centennial Sta
Warminster, PA 18974-5488

Mailing address

1425 Meadowbrook Rd
Jenkintown, PA 19046-1008
Phone (410) 693-7975

Other providers in Warminster, PA

All providers in Warminster, PA · General Practice Dentistry in Pennsylvania

Sources for this page

Verify at the official NPI Registry.