# KUTZTOWN DENTAL CENTER P.C.

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

## Provider details

- **NPI number:** 1982825386
- **Authorized official:** DR. WILLIAM R EPES DDS (PRESIDENT)
- **Authorized official phone:** (610) 683-7112

## Contact information

- **Practice address:** 404 W MAIN ST, KUTZTOWN, PA 19530-1608
- **Practice address phone:** (610) 683-7112
- **Practice address fax:** (610) 683-7376
- **Mailing address:** 404 W MAIN ST, KUTZTOWN, PA 19530-1608
- **Mailing address phone:** (610) 683-7112
- **Mailing address fax:** (610) 683-7376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS020557L | PA | Yes |
| 1223G0001X | General Practice Dentistry | DS024208L | PA | — |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1154389377 | GENERAL DENTIST | PA |
| 01 | — | 1245332907 | GENERAL DENTIST | PA |