| E. Steven Moriconi, Dmd, Pc | |
|
609 Harper Ave Jenkintown PA 19046-3206 | |
| (215) 884-8263 | |
| (215) 886-8975 |
| Full Name | E. Steven Moriconi, Dmd, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 609 Harper Ave, Jenkintown, Pennsylvania |
| Authorized Official Name and Position | E Steven Moriconi (OWNER) |
| Authorized Official Contact | 2158848263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E. Steven Moriconi, Dmd, Pc 609 Harper Ave Jenkintown PA 19046-3206 Ph: (215) 884-8263 | E. Steven Moriconi, Dmd, Pc 609 Harper Ave Jenkintown PA 19046-3206 Ph: (215) 884-8263 |
| NPI Number | 1508043217 |
|---|---|
| Provider Enumeration Date | 01/24/2008 |
| Last Update Date | 01/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508043217 | NPI | - | NPPES |
| 427879F79 | Other | PA | MEDICARE RENDERING PROVID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS021089L (Pennsylvania) | Primary |
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