Mitchel Storb, DMD

Individual provider Active NPI General Practice Dentistry · Terre Hill, PA

NPI 1891471470 · NPPES record last updated Jun 27, 2023

Key facts

NPI
1891471470
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DS044071 (PA)
Practice address
422 Maple St
Terre Hill, PA 17581-9613
Phone
(717) 445-4422
NPI assigned
Jun 27, 2023
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

LicenseStateTypeSpecialty
DS044071PAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS044071 PA Yes

Addresses

Primary practice location

422 Maple St
Terre Hill, PA 17581-9613

Mailing address

325 E Pine St
Ephrata, PA 17522-2141
Phone (717) 823-1495

Other providers in Terre Hill, PA

All providers in Terre Hill, PA · General Practice Dentistry in Pennsylvania

Sources for this page

Verify at the official NPI Registry.