Alyssa Southard, DMD

NPI #1497216055 in Brookhaven, Pennsylvania

Provider Information

NPI Number: 1497216055
Entity Type: Individual
Name: Alyssa Southard, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Mar 27, 2019
Last Updated: Dec 5, 2024

Practice Location

Address: 5003 EDGMONT AVE
City: Brookhaven
State: Pennsylvania
ZIP Code: 19015-1202
Phone: (610) 370-3647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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