Organization · Type 2 NPI
Main Line Dental Group PC
Prosthodontics · Wayne, PA
Practice location
744 West Lancaster Ave, Devon Square II Suite 115
Wayne, PA 19087-2523
Fax (610) 971-9781
Mailing address
744 W Lancaster Ave, Devon Square II Suite 115
Wayne, PA 19087-2523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | DS022342L (PA) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
About NPI 1679618433
Main Line Dental Group PC's National Provider Identifier is 1679618433, issued on Feb 20, 2007. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Wayne, PA. The record was last updated on Jul 19, 2012.