# GREGG SOFFER

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

## Provider details

- **NPI number:** 1801388418
- **Authorized official:** GREGG SOFFER DMD (DENTIST)
- **Authorized official phone:** (215) 943-2077

## Contact information

- **Practice address:** 549 STONYBROOK DR, LEVITTOWN, PA 19055-2228
- **Practice address phone:** (215) 943-2077
- **Mailing address:** 549 STONYBROOK DR, LEVITTOWN, PA 19055-2228
- **Mailing address phone:** (215) 943-2077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS030384L | PA | Yes |

## Other

- **Enumeration date:** 05/31/2018
- **Last updated:** 05/31/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1033844510001 | — | PA |