Organization
MARIE G SCOTT & STEPHANIE FOSTER DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE HEYDT MCGANN DMD (OWNER)
(610) 558-0416
Entity
Organization
Contact information
Practice address
736 BALTIMORE PIKE, CONCORDVILLE, PA 19331
(610) 558-0416
(610) 558-1005
Mailing address
PO BOX 904, CONCORDVILLE, PA 19331
(610) 558-0416
(610) 558-1005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS024345L
PA
122300000X
Dentist
DS026052L
PA
1223G0001X
General Practice Dentistry
Primary
80667545
PA
Other
Enumeration date
10/03/2006
Last updated
07/21/2008
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