Provider Demographics
NPI:1982969291
Name:GEORGE DENTAL
Entity type:Organization
Organization Name:GEORGE DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ABED
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:SNEIJ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:610-334-9342
Mailing Address - Street 1:1146 PERKIOMEN AVE
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19602
Mailing Address - Country:US
Mailing Address - Phone:610-334-9342
Mailing Address - Fax:
Practice Address - Street 1:1146 PERKIOMEN AVE
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19602
Practice Address - Country:US
Practice Address - Phone:610-334-9342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-12
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS035411122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty