# EXTON FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1437581261
- **Authorized official:** JILL HARPER (OFFICE MANAGER)
- **Authorized official phone:** (610) 363-6070

## Contact information

- **Practice address:** 133 JOHN ROBERT THOMAS DR, EXTON, PA 19341-2656
- **Practice address phone:** (610) 363-6070
- **Practice address fax:** (610) 363-2172
- **Mailing address:** 133 JOHN ROBERT THOMAS DR, EXTON, PA 19341-2656
- **Mailing address phone:** (610) 363-6070
- **Mailing address fax:** (610) 363-2172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS031296L | PA | Yes |
| 1223P0300X | Periodontics | DS037114 | PA | — |

## Other

- **Enumeration date:** 08/03/2013
- **Last updated:** 08/03/2013