Stephen Xiaofeng Huang, DMD
Individual provider Active NPI General Practice Dentistry · Glenolden, PA
NPI 1174675615 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1174675615
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS031393L (PA)
- Practice address
- 1 West Ashland Ave.
Glenolden, PA 19036 - Phone
- (610) 586-0190
- Fax
- (610) 586-9630
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS031393L | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen Famiy Dentistry | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS031393L | PA | Yes |
Addresses
Primary practice location
1 West Ashland Ave.
Glenolden, PA 19036
Mailing address
1 West Ashland Ave.
Glenolden, PA 19036
Phone (610) 586-0190
Other providers in Glenolden, PA
- Hollyhomecare Agency
- Honest Elite Caregivers Inc.
- Hope for Living LLC
- Latifah Howard
- Jiahui Huang
- William T Ingram
- Injury Care Center
- Interboro School District
- Anis Jaouad
- Kathryn Jean Jessen
All providers in Glenolden, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.