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CCD WAYNE FAMILY DENTISTRY, LLC
NPI 1124667159
Dentist - General Practice in Wayne, PA

Active since December 20, 2019
415 E LANCASTER AVE, WAYNE, PA 19087(610) 688-4578 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2020, Dec 20, 2019 (2 updates tracked since 2019).

About Ccd Wayne Family Dentistry, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CCD WAYNE FAMILY DENTISTRY, LLC (NPI 1124667159), doing business as Wayne Family Dentistry, is a healthcare organization registered as a general practice in Wayne, Pennsylvania and active in the NPI registry since December 2019. The organization lists Beth Walsh, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1124667159
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCCD WAYNE FAMILY DENTISTRY, LLC
Location Address415 E LANCASTER AVEWayne, PA 19087-4202
Mailing Address415 E Lancaster AveWayne, PA 19087-4202 · (610) 688-4578
Phone(610) 688-4578
Organization SubpartNo
Authorized OfficialBeth WalshDirector Of Operations · (610) 842-5421
Enumeration DateDecember 20, 2019
Last NPPES UpdateAugust 19, 20202 updates tracked since enumeration
NPPES CertifiedAugust 19, 2020
✔ NPI 1124667159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
415 E LANCASTER AVE, Wayne, PA 19087
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Other Names 1

Doing Business AsWayne Family Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH ALLEN FETTER SR. DMD
Dentist
415 E LANCASTER AVE
WAYNE, PA 19087
Chester County (610) 688-4578
DR. DALLAS LEE PULLIAM JR. DMD
Dentist
415 E LANCASTER AVE
WAYNE, PA 19087
Chester County (610) 688-4578

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ccd Wayne Family Dentistry, LLC's NPI number?

The NPI number for Ccd Wayne Family Dentistry, LLC is 1124667159. It was assigned to this organization in the NPPES registry on December 20, 2019. The provider is doing business as Wayne Family Dentistry.

Where is Ccd Wayne Family Dentistry, LLC located?

Ccd Wayne Family Dentistry, LLC is located at 415 E Lancaster Ave, Wayne, PA 19087. The listed phone number is (610) 688-4578.

What is Ccd Wayne Family Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ccd Wayne Family Dentistry, LLC was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.