Elverson Dental Care, LLC
Organization Active NPI General Practice Dentistry · Elverson, PA
NPI 1346360765 · NPPES record last updated Mar 7, 2020
Key facts
- NPI
- 1346360765
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS026093L (PA)
- Legal business name
- ELVERSON DENTAL CARE, LLC
- Practice address
- 4101 W. Main Street
Elverson, PA 19520 - Phone
- (610) 286-5841
- Fax
- (610) 286-0161
- NPI assigned
- Mar 30, 2007
- Organization subpart
- No
Authorized official
- Name
- James W Wolitarsky Jr., D.D.S.
- Title
- Owner
- Phone
- (610) 286-5841
Practitioners 4
-
Joseph Funari, DMD
-
Elizabeth Ann Dymond, DMD
-
Scott W. Wallace, DDS
National Provider Directory
Locations
4101 Main St
Elverson, PA 19520
Phone (610) 286-5841
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | DS026093L | PA | Yes |
Addresses
Primary practice location
4101 W. Main Street
Elverson, PA 19520
Mailing address
4101 W. Main Street
Elverson, PA 19520
Phone (610) 286-5841
Other names
- Scott Wallace DDS, LLC
Other providers in Elverson, PA
- Doug'S Family Pharmacy
- Dougs Family Pharmacy
- Gordon Richard Eck
- Krista Ellis
- Elverson - Honey Brook Area EMS
- Family Dentistry- Dr. Yooson Kim, LLC
- Family Medical Center
- Daniel J. Fick
- Alyssa Fischer
- Focusedhealth PC
All providers in Elverson, 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 Mar 7, 2020. 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.