David Matthew Dillon, DMD
Individual provider Active NPI Dentist · Rosemont, PA
NPI 1346576675 · NPPES record last updated Oct 21, 2009
Key facts
- NPI
- 1346576675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS026983 (PA)
- Practice address
- 1084 East Lancaster Avenue
Rosemont, PA 19010 - Phone
- (610) 525-5497
- Fax
- (866) 685-1811
- NPI assigned
- Oct 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| DS026983 | PA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS026983 | PA | Yes |
Addresses
Primary practice location
1084 East Lancaster Avenue
Rosemont, PA 19010
Mailing address
1084 East Lancaster Avenue
Rosemont, PA 19010
Phone (610) 525-5497
Other providers in Rosemont, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2009. 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.