# EDWARD M. SEGAL, D.D.S., ASSOCIATES

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

## Provider details

- **NPI number:** 1821308487
- **Authorized official:** MRS. DONNA M REED (OFFICE MANAGER)
- **Authorized official phone:** (215) 482-0504

## Contact information

- **Practice address:** 6508 RIDGEAVENUE, PHILADELPHIA, PA 19128
- **Practice address phone:** (215) 482-0504
- **Practice address fax:** (215) 487-3896
- **Mailing address:** 6508 RIDGE AVENUE, PHILADELPHIA, PA 19128
- **Mailing address phone:** (215) 482-0504
- **Mailing address fax:** (215) 487-3896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | DS035533 | PA | Yes |

## Other

- **Enumeration date:** 10/18/2010
- **Last updated:** 10/18/2010