Champion Dentistry Inc
General Practice
1172 N 63rd St, Philadelphia
Pennsylvania, 19151-3208
215-473-4717 Champion Dentistry Inc is a General Practice in Philadelphia, Pennsylvania. It is located at 1172 N 63rd St, Philadelphia and it's customer support contact number is 215-473-4717. The authorized person of Champion Dentistry Inc is Charles W Champion Jr., DDS who is Owner of this DME and his contact number is 215-473-4717. Champion Dentistry Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Champion Dentistry Inc is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
DME Supplier Details:
Champion Dentistry Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Champion Dentistry Inc |
| Type: | General Practice |
| Location: | 1172 N 63rd St, Philadelphia,
Pennsylvania, 19151-3208 |
| Phone: | 215-473-4717 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Charles W Champion Jr. |
| Credentials: | DDS |
| Position: | Owner |
| Contact Number: | 215-473-4717 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1457940272 |
| NPI Enumeration Date: | 15 Jan, 2021 |
| NPI Last Update On: | 24 Feb, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Champion Dentistry Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
| Customized Equipment | | | Secondary | |
Medicare Enrollment:
Champion Dentistry Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9830506476 | O20210329000823 | Champion Dentistry Inc | DME SUPPLIER - ORAL SURGERY - DENTIST |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1172 N 63rd St,
Philadelphia, Pennsylvania |
| Zip: | 19151-3208 |
| Phone Number: | 215-473-4717 |
Patients can reach Champion Dentistry Inc at
1172 N 63rd St, Philadelphia, Pennsylvania or can
call on customer care at 215-473-4717.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.