Easy Dental PC

Restricted

Easy Dental PC is subject to Restricted. See the individual lists below.

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Addresses

Address 1 : 5616 GERMANTOWN AVENUE PHILADELPHIA Pennsylvania 19114

Address 2 : 5616 GERMANTOWN AVENUE

Address 3 : Philadelphia

ID Details

ID TYPE : PA License Number

ID NUMBER : 1093093585

ID TYPE : Provider Npi Number

ID NUMBER : 1093093585

ID TYPE : NPI

ID NUMBER : 1093093585

ID TYPE : NPI Number

View Notes

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Easy Dental PC Sanctioned By Below Authorities

List Name	List Authority	Effective Date ▼	Status
Pennsylvania Department of Public Welfare Medicheck (Precluded Providers) List	U.S. Other Government Agencies	Jul 24, 2015	active
Provider Exclusion Report by the State of New Jersey Medicaid Fraud Division	The Office of the State Comptroller of New Jersey	Nov 20, 2015	active
State of New Jersey Consolidated Debarment Report	U.S. Other Government Agencies	Nov 20, 2015	active