Charles H Sacks, DMD

Individual provider Active NPI General Practice Dentistry · Spring House, PA

NPI 1780784157 · NPPES record last updated Nov 26, 2014

Key facts

NPI
1780784157
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DS024384L (PA)
Practice address
921 N Bethlehem PK
Spring House, PA 19477
Phone
(215) 646-4767
Fax
(215) 646-5140
NPI assigned
Sep 25, 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

LicenseStateTypeSpecialty
DS024384LPAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS024384L PA Yes

Addresses

Primary practice location

921 N Bethlehem PK
Spring House, PA 19477

Mailing address

PO Box 739
921 N Bethlehem Pike
Spring House, PA 19477
Phone (215) 646-4767

Other providers in Spring House, PA

All providers in Spring House, PA · General Practice Dentistry in Pennsylvania

Sources for this page

Verify at the official NPI Registry.