Haverford Dental Specialists PC

NPI #1154864791 in Haverford, Pennsylvania

Provider Information

NPI Number: 1154864791
Entity Type: Organization
Organization Name: Haverford Dental Specialists PC
Primary Specialty: Dentist - Periodontics
Enumeration Date: Nov 30, 2016
Last Updated: Nov 30, 2016

Practice Location

Address: 600 HAVERFORD RD
Address 2: STE 202
City: Haverford
State: Pennsylvania
ZIP Code: 19041-1139
Phone: (610) 642-3009

Authorized Official

Name: DR. JOHN L POTTER, DMD
Title: PRESIDENT/OWNER/PERIODONTIST
Phone: (610) 642-3009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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