Individual provider · Type 1 NPI
Joseph John Havrilla, DDS
Periodontics · Broomall, PA
NPI number
1295954618
Active
Practice location
2004 Sproul Rd Ste 204
Broomall, PA 19008-3511
Fax (610) 328-5549
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DS024390L (PA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1295954618
Joseph John Havrilla, DDS's National Provider Identifier is 1295954618, issued on Apr 24, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Broomall, PA. The record was last updated on Aug 1, 2019.