Individual
DR. SCOTT MICHAEL STEWARD-THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., D.PHIL.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3449
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3449
(215) 707-2781
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
DDS-09245
IA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DN122241
GA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
DS042724
PA
Other
Enumeration date
08/21/2015
Last updated
04/18/2024
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