OrganizationActive
Ccd Wayne Family Dentistry, LLC
NPI 1124667159 · General Practice Dentistry · Wayne, PA
Ccd Wayne Family Dentistry, LLC is a General Practice Dentistry organization in Wayne, PA (NPI 1124667159).
Provider details
- NPI number
- 1124667159
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Beth Walsh, Director of Operations(610) 842-5421
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
415 E Lancaster Ave
Wayne, PA 19087-4202
Phone: (610) 688-4578
Approximate (ZIP-level) locationGet directions
Mailing address
415 E Lancaster Ave
Wayne, PA 19087-4202
Other names (DBA / former)
- Doing business as
- Wayne Family Dentistry
Registry dates
- Enumerated
- 2019-12-20
- Last updated
- 2020-08-19
- Certified
- 2020-08-19
Frequently asked questions
- What is Ccd Wayne Family Dentistry, LLC's NPI number?
- Ccd Wayne Family Dentistry, LLC's National Provider Identifier (NPI) is 1124667159, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ccd Wayne Family Dentistry, LLC?
- Ccd Wayne Family Dentistry, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Ccd Wayne Family Dentistry, LLC located?
- Ccd Wayne Family Dentistry, LLC's practice location on file with NPPES is 415 E Lancaster Ave, Wayne, PA 19087-4202.
- What is Ccd Wayne Family Dentistry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ccd Wayne Family Dentistry, LLC is (610) 688-4578.
- Who is the authorized official for Ccd Wayne Family Dentistry, LLC?
- The authorized official listed on Ccd Wayne Family Dentistry, LLC's NPPES record is Beth Walsh, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ccd Wayne Family Dentistry, LLC's NPI active?
- Yes — Ccd Wayne Family Dentistry, LLC's NPI (1124667159) is active in the NPPES registry as of the last update on 2020-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.