Provider Demographics
NPI:1063529667
Name:SKLAR FAMILY DENTISTRY LLC
Entity type:Organization
Organization Name:SKLAR FAMILY DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:T
Authorized Official - Last Name:SKLAR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-368-7025
Mailing Address - Street 1:PO BOX 460
Mailing Address - Street 2:MAIN & OVERBROOK RD
Mailing Address - City:HATFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19440-0460
Mailing Address - Country:US
Mailing Address - Phone:215-368-7025
Mailing Address - Fax:215-368-7026
Practice Address - Street 1:MAIN & OVERBROOK RD
Practice Address - Street 2:
Practice Address - City:HATFIELD
Practice Address - State:PA
Practice Address - Zip Code:19440-0460
Practice Address - Country:US
Practice Address - Phone:215-368-7025
Practice Address - Fax:215-368-7026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty