# JAMES DVORCHAK DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ogontz Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467500660
- **Authorized official:** DR. JAMES DAVID DVORCHAK DDS (OWNER)
- **Authorized official phone:** (215) 276-9090

## Contact information

- **Practice address:** 1614 E UPSAL ST, PHILADELPHIA, PA 19150-1426
- **Practice address phone:** (215) 276-9090
- **Practice address fax:** (215) 276-8105
- **Mailing address:** 1614 E UPSAL ST, PHILADELPHIA, PA 19150-1426
- **Mailing address phone:** (215) 276-9090
- **Mailing address fax:** (215) 276-8105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS022504L | PA | Yes |

## Other

- **Enumeration date:** 01/06/2007
- **Last updated:** 08/22/2020