Organization
KUTZTOWN DENTAL CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R EPES DDS (PRESIDENT)
(610) 683-7112
Entity
Organization
Contact information
Practice address
404 W MAIN ST, KUTZTOWN, PA 19530-1608
(610) 683-7112
(610) 683-7376
Mailing address
404 W MAIN ST, KUTZTOWN, PA 19530-1608
(610) 683-7112
(610) 683-7376
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS020557L
PA
1223G0001X
General Practice Dentistry
DS024208L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154389377
GENERAL DENTIST
PA
01
—
1245332907
GENERAL DENTIST
PA
Enumeration date
05/01/2007
Last updated
08/22/2020
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