Individual
DR. JOHN L POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3131 COLLEGE HEIGHTS BLVD., SUITE 2800, ALLENTOWN, PA 18104
(610) 433-2300
(610) 433-4592
Mailing address
3131 COLLEGE HEIGHTS BLVD., SUITE 2800, ALLENTOWN, PA 18104
(610) 433-2300
(610) 433-4592
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D5028897L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
743038222
TAX ID#
PA
Enumeration date
08/02/2006
Last updated
07/08/2007
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