Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ccd Ardmore Family Dentistry, LLC

Organization General Practice Dentistry · NPI 1952872228

Ccd Ardmore Family Dentistry, LLC provides 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
Show map & directions

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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