Organization
TROY ORACKO DMD PLLC
Active
Other names
Phoenixville Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY MICHAEL ORACKO DMD (OWNER)
(610) 933-3717
Entity
Organization
Contact information
Practice address
883 VALLEY FORGE RD, PHOENIXVILLE, PA 19460-2623
(610) 933-3717
Mailing address
883 VALLEY FORGE RD, PHOENIXVILLE, PA 19460-2623
(610) 933-3717
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215503040
GENERAL DENTIST
PA
Enumeration date
06/04/2024
Last updated
06/04/2024
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