Organization
DAVID J. FOX, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J. FOX DMD (PRESIDENT)
(215) 481-0441
Entity
Organization
Contact information
Practice address
2401 PENNSYLVANIA AVE STE 1A8, PHILADELPHIA, PA 19130-3002
(215) 481-0441
Mailing address
PO BOX 624, FOXCROFT SQUARE, PA 19046-7024
(215) 481-0441
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
1223P0700X
Prosthodontics
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS-022175L
PENNSYLVANIA DEPARTMENT OF STATE - BOARD OF DENTISTRY
PA
Enumeration date
11/06/2009
Last updated
08/03/2020
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