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Dr. William Brereton Mucklow, DDS
Pediatric Dentist in Media, Pennsylvania
NPI 1508900556

William Brereton Mucklow is a Pediatric Dentist based in Wallingford, PA and is specialized in Pediatric Dentistry. William Brereton Mucklow practices in Media, PA and has the professional credentials of DDS. The NPI Number for William Brereton Mucklow is 1508900556 and holds a License No. DS 020939 (Pennsylvania).

The current practice location address for William Brereton Mucklow is 1245 N Providence Rd, Media, PA and can be reached out via phone at 610-565-5077.

Location: 1245 N Providence Rd, Media, PA, 19086-6160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508900556
Provider Name
William Brereton Mucklow
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1245 N Providence Rd, Media, PA, 19086-6160
Phone Number
610-565-5077
Fax Number
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1245 N Providence Rd
City
Media
State
Pennsylvania
Zip
19063-1210
Phone Number
610-565-5077
Fax Number
person
Provider Business Mailing Address Details
Address
1245 N Providence Rd
City
Media
State
Pennsylvania
Zip
19063-1210
Phone Number
610-565-5077
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DS 020939 (Pennsylvania)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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