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Dr. Stanton Marc Braid, DMD
Oral and Maxillofacial Surgery (Dentist) in Phila, Pennsylvania
NPI 1205824398

Stanton Marc Braid is a Oral and Maxillofacial Surgery (Dentist) based in Phila, PA and is specialized in Oral and Maxillofacial Surgery. Stanton Marc Braid practices in Phila, PA and has the professional credentials of DMD. The NPI Number for Stanton Marc Braid is 1205824398 and holds a License No. DS018002L (Pennsylvania).

The current practice location address for Stanton Marc Braid is 1521 Locust St, Phila, PA and can be reached out via phone at 215-735-6241 and via fax at 215-735-6242.

Location: 1521 Locust St, Phila, PA, 19102-3727
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205824398
Provider Name
Stanton Marc Braid
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1521 Locust St, Phila, PA, 19102-3727
Phone Number
215-735-6241
Fax Number
215-735-6242
Provider Enumeration Date
10/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0060873000 01 PA PA BC-BS- KHPE-PERSONALCH
0005238080001 05 PA
institution
Provider Business Practice Location Address Details
Address
1521 Locust St
City
Phila
State
Pennsylvania
Zip
19102-3727
Phone Number
215-735-6241
Fax Number
215-735-6242
person
Provider Business Mailing Address Details
Address
1521 Locust St
City
Phila
State
Pennsylvania
Zip
19102-3727
Phone Number
215-735-6241
Fax Number
215-735-6242
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DS018002L (Pennsylvania)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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