Organization
POTTSTOWN PEDIATRIC DENTISTRY & ORTHODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY GOLDSLEGER DDS (PRESIDENT)
(610) 337-2325
Entity
Organization
Contact information
Practice address
625 N. POTTSTOWN PIKE, SUITE 2-N, POTTSTOWN, PA 19464
(610) 337-2325
(610) 337-3863
Mailing address
596 LANCASTER AVE, SUITE 100, MALVERN, PA 19355-1808
(484) 679-4071
(610) 884-9296
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
PA
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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