# THOMAS KRAKOWER, D.M.D., LLC

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

## Provider details

- **NPI number:** 1417185893
- **Authorized official:** THOMAS KRAKOWER D.M.D. (PRESIDENT/ OWNER)
- **Authorized official phone:** (610) 744-2888

## Contact information

- **Practice address:** 1068 W BALTIMORE PIKE, SUITE 2304 RIDDLE HEALTH CARE CENTER II, MEDIA, PA 19063-5104
- **Practice address phone:** (610) 744-2888
- **Practice address fax:** (610) 744-2832
- **Mailing address:** 1068 W BALTIMORE PIKE, SUITE 2304 RIDDLE HEALTH CARE CENTER II, MEDIA, PA 19063-5104
- **Mailing address phone:** (610) 744-2888
- **Mailing address fax:** (610) 744-2832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS018722L | PA | Yes |

## Other

- **Enumeration date:** 06/24/2009
- **Last updated:** 08/25/2014