EAGLE CREST PEDIATRIC DENTISTRY
NPI 1326392846
Dentist - Pediatric Dentistry in Havertown, PA

Active since November 06, 2012
31 S EAGLE RD, SUITE 100, HAVERTOWN, PA 19083(484) 454-3568(484) 454-3582 Get Directions Write a Review

NPPES record last updated: October 3, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eagle Crest Pediatric Dentistry NPPES

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

EAGLE CREST PEDIATRIC DENTISTRY (NPI 1326392846) is a healthcare organization registered as a pediatric dentistry in Havertown, Pennsylvania and active in the NPI registry since November 2012. The organization lists Rose Wadenya, Owner / Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1326392846
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameEAGLE CREST PEDIATRIC DENTISTRY
Location Address31 S EAGLE RD, SUITE 100Havertown, PA 19083-3340
Mailing Address31 S Eagle Rd, Suite 100Havertown, PA 19083-3340 · (484) 454-3568 · Fax (484) 454-3582
Fax(484) 454-3582
Organization SubpartNo
Authorized OfficialRose WadenyaOwner / Pediatric Dentist · (484) 454-3568
Enumeration DateNovember 6, 2012
Last NPPES UpdateOctober 3, 2014
NPI 1326392846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

31 S EAGLE RD, Havertown, PA 19083

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

Accepted Insurance

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Ophthalmology
31 S EAGLE RD, SUITE 107
HAVERTOWN, PA 19083
Dentist (General Practice)
31 S EAGLE RD, SUITE 100
HAVERTOWN, PA 19083
Ophthalmology
31 S EAGLE RD, STE. 107
HAVERTOWN, PA 19083
Dentist (Pediatric Dentistry)
31 S EAGLE RD
HAVERTOWN, PA 19083

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326392846, enumerated as an "organization" on November 06, 2012.

The provider is located at 31 S EAGLE RD SUITE 100 HAVERTOWN, PA 19083 and the phone number is (484) 454-3568.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.