Individual provider · Type 1 NPI

Louis Robert Prusack, DDS

Pediatric Dentistry · Southampton, PA

NPI number 1508020330 Active

Practice location

57 Street Rd
Southampton, PA 18966-3100

Fax (215) 355-3513

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDS016805L (PA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2 other providers at this address

About NPI 1508020330

Louis Robert Prusack, DDS's National Provider Identifier is 1508020330, issued on Jul 10, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Southampton, PA. The record was last updated on Jul 10, 2008.