# DAVID MACONI DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104588730
- **Authorized official:** DR. DAVID M MACONI DDS (OWNER)
- **Authorized official phone:** (609) 477-2290

## Contact information

- **Practice address:** 810 DARBY RD, HAVERTOWN, PA 19083-4607
- **Practice address phone:** (610) 853-6602
- **Mailing address:** 195 E CHELSEA CIR, NEWTOWN SQUARE, PA 19073-2110
- **Mailing address phone:** (609) 477-2290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2021
- **Last updated:** 10/11/2021