Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ccd Ardmore Family Dentistry, LLC

Organization General Practice Dentistry · NPI 1952872228

Ccd Ardmore Family Dentistry, LLC is a General Practice Dentistry in Ardmore, Pennsylvania. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

636 Wynnewood Rd
Ardmore, PA 19003-2626
Phone: (610) 642-7024
Fax: (610) 642-0658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1952872228
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beth Walsh — Director Of Operations · (610) 642-7024
Other names The Office Of Dr. Bellisario
NPI enumeratedDecember 16, 2018
Last updated in NPPESAugust 19, 2020
Certification dateAugust 19, 2020
Mailing address636 Wynnewood Rd, Ardmore, PA 19003-2626

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