Provider Demographics
NPI:1841882966
Name:FAMILY DENTISTRY READING
Entity type:Organization
Organization Name:FAMILY DENTISTRY READING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BIEBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-370-5955
Mailing Address - Street 1:2729 N 11TH ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19605-2731
Mailing Address - Country:US
Mailing Address - Phone:610-921-3566
Mailing Address - Fax:
Practice Address - Street 1:2729 N 11TH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19605-2731
Practice Address - Country:US
Practice Address - Phone:610-921-3566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY DENTISTRY- DR. YOOSON KIM, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty