Teresita Alcaraz O'Halloran, D.D.S.
Individual provider Active NPI General Practice Dentistry · Strafford, PA
NPI 1881990653 · NPPES record last updated Jan 26, 2011
Key facts
- NPI
- 1881990653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS016100L (PA)
- Practice address
- 255 Strafford Ave
Strafford, PA 19087-2522 - Phone
- (610) 687-2868
- NPI assigned
- Jan 26, 2011
- Sex
- Female
- 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 |
|---|---|---|---|
| DS016100L | PA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS016100L | PA | Yes |
Addresses
Primary practice location
255 Strafford Ave
Strafford, PA 19087-2522
Mailing address
255 Strafford Ave
Strafford, PA 19087-2522
Phone (610) 687-2868
Other providers in Strafford, PA
- Cassandra Lee McCoy
- Ingrid McFadden
- Tashay Denise Meares
- Rebecca Alice Moore
- Lisa Newman
- Katherine Perna
- Suzanne Koziol Pugh
- Leanne T Robert
- Mojdeh Saberin
- Cynthia Wasson Sadler
All providers in Strafford, 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 Jan 26, 2011. 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.