Individual
DR. JERROLD H AXLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1150 VALLEY FORGE RD, SUITE 101, PHOENIXVILLE, PA 19460-2658
(610) 933-3342
(610) 983-9122
Mailing address
1150 VALLEY FORGE ROAD, SUITE 101, PHOENIXVILLE, PA 19460
(610) 933-3342
(610) 983-9122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS016107
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
639648
UNITED CONCORDIA ID#
PA
Enumeration date
10/12/2006
Last updated
12/10/2008
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