Organization
HAVERFORD DENTAL SPECIALISTS PC
Active
Other names
Haverford Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L POTTER DMD (PRESIDENT/OWNER/PERIODONTIST)
(610) 642-3009
Entity
Organization
Contact information
Practice address
600 HAVERFORD RD, STE 202, HAVERFORD, PA 19041-1139
(610) 642-3009
Mailing address
600 HAVERFORD RD, STE 202, HAVERFORD, PA 19041-1139
(610) 642-3009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS029833L
PA
1223G0001X
General Practice Dentistry
DS039985
PA
1223P0300X
Periodontics
Primary
DSL028897L
PA
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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