DR. TRACEY HEIKEN BRESLER D.M.D NPI 1225299910

NPI Information

DR. Tracey Heiken Bresler, D.M.D is a pediatric dentistry dentist in Philadelphia, PA. The provider is 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. DR. Tracey Heiken Bresler, D.M.D NPI is 1225299910. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6801 RIDGE AVE
PHILADELPHIA, PA
ZIP 19128-446
Phone: (215) 483-6633

The NPI 1225299910 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/24/2008 and was last updated on 1/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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