Individual provider · Type 1 NPI
Jonathan A. Waasdorp, DMD
Periodontics · King Of Prussia, PA
NPI number
1619105772
Active
Practice location
10112 Valley Forge Cir, Suite 112
King Of Prussia, PA 19406-1111
Mailing address
10112 Valley Forge Circle, Suite 112
King Of Prussia, PA 19406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DS037114 (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.
Another provider at this address
Other periodontics providers in King Of Prussia
About NPI 1619105772
Jonathan A. Waasdorp, DMD's National Provider Identifier is 1619105772, issued on Jun 29, 2009. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in King Of Prussia, PA. The record was last updated on Jun 29, 2009.