| Jake M Dorfman Dmd Pllc | |
|
345 Knowles Ave Ste 7 Southampton PA 18966-4191 | |
| (215) 917-6690 | |
| Not Available |
| Full Name | Jake M Dorfman Dmd Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 345 Knowles Ave Ste 7, Southampton, Pennsylvania |
| Authorized Official Name and Position | Jake Dorfman (OWNER) |
| Authorized Official Contact | 2159176690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jake M Dorfman Dmd Pllc 155 Gleniffer Hill Rd Richboro PA 18954-1368 Ph: () - | Jake M Dorfman Dmd Pllc 345 Knowles Ave Ste 7 Southampton PA 18966-4191 Ph: (215) 917-6690 |
| NPI Number | 1184275299 |
|---|---|
| Provider Enumeration Date | 09/20/2019 |
| Last Update Date | 09/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184275299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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