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CCD ARDMORE FAMILY DENTISTRY, LLC
NPI 1952872228
Dentist - General Practice in Ardmore, PA

Active since December 16, 2018
636 WYNNEWOOD RD, ARDMORE, PA 19003(610) 642-7024(610) 642-0658 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 16, 2018 (2 updates tracked since 2018).

About Ccd Ardmore Family Dentistry, Llc NPPES

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

CCD ARDMORE FAMILY DENTISTRY, LLC (NPI 1952872228), doing business as The Office Of Dr. Bellisario, is a healthcare organization registered as a general practice in Ardmore, Pennsylvania and active in the NPI registry since December 2018. The organization lists Beth Walsh, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1952872228
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCCD ARDMORE FAMILY DENTISTRY, LLC
Location Address636 WYNNEWOOD RDArdmore, PA 19003-2626
Mailing Address636 Wynnewood RdArdmore, PA 19003-2626 · (610) 642-7024 · Fax (610) 642-0658
Phone(610) 642-7024
Fax(610) 642-0658
Organization SubpartNo
Authorized OfficialBeth WalshDirector Of Operations · (610) 642-7024
Enumeration DateDecember 16, 2018
Last NPPES UpdateAugust 19, 20202 updates tracked since enumeration
NPPES CertifiedAugust 19, 2020
✔ NPI 1952872228 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.
636 WYNNEWOOD RD, Ardmore, PA 19003
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Other Names 1

Doing Business AsThe Office Of Dr. Bellisario

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

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

DR. JEFFREY ALLEN BELLISARIO DDS
Dentist
636 WYNNEWOOD RD
ARDMORE, PA 19003
Delaware County (610) 642-7024

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 Ardmore Family Dentistry, LLC's NPI number?

The NPI number for Ccd Ardmore Family Dentistry, LLC is 1952872228. It was assigned to this organization in the NPPES registry on December 16, 2018. The provider is doing business as The Office of Dr. Bellisario.

Where is Ccd Ardmore Family Dentistry, LLC located?

Ccd Ardmore Family Dentistry, LLC is located at 636 Wynnewood Rd, Ardmore, PA 19003. The listed phone number is (610) 642-7024.

What is Ccd Ardmore 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 Ardmore 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.