| Michael Russo Dds Susan E Scharlock Dds | |
|
2 Circle Ave West Chester PA 19382-4808 | |
| (610) 696-1025 | |
| (610) 696-1058 |
| Full Name | Michael Russo Dds Susan E Scharlock Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2 Circle Ave, West Chester, Pennsylvania |
| Authorized Official Name and Position | Michael Russo (DENTIST OWNER) |
| Authorized Official Contact | 6106961025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Russo Dds Susan E Scharlock Dds 1039 General Lafayette Blvd West Chester PA 19382-8084 Ph: (610) 793-0525 | Michael Russo Dds Susan E Scharlock Dds 2 Circle Ave West Chester PA 19382-4808 Ph: (610) 696-1025 |
| NPI Number | 1992914063 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992914063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS024419L (Pennsylvania) | Primary |
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