Bresler, Tracey Heiken
Bresler, Tracey Heiken is an sole proprietor health care provider with primary practice located at 6801 Ridge Ave , Philadelphia PA 19128-2446. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Bresler, Tracey Heiken can be contacted via phone (215) 483-6633.Contact Information
Primary practice address
6801 Ridge Ave
Philadelphia PA 19128-2446
Phone: (215) 483-6633
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DS038634 | Pennsylvania |
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN18325 | Florida |
Profile Details
| NPI number | 1225299910 |
|---|---|
| LBN Legal business name | Bresler, Tracey Heiken |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2008 |
| Last updated | Jan 22nd, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225299910 | NPPES |
| Pennsylvania | MEDICAID | 102603876 |
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