person
Dr. Michael Earl Docktor, DDS
General Practice Dentistry in Philadelphia, Pennsylvania
NPI 1740352194

Michael Earl Docktor is a General Practice Dentistry based in Philadelphia, PA and is specialized in General Practice. Michael Earl Docktor practices in Philadelphia, PA and has the professional credentials of DDS. The NPI Number for Michael Earl Docktor is 1740352194 and holds a License No. DS017410L (Pennsylvania).

The current practice location address for Michael Earl Docktor is 1522 Locust Street, Philadelphia, PA and can be reached out via phone at 215-545-3744 and via fax at 215-545-3276.

Location: 1522 Locust Street, Philadelphia, PA, 19102
person
Provider Profile Details
NPI Number
1740352194
Provider Name
Michael Earl Docktor
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1522 Locust Street, Philadelphia, PA, 19102
Phone Number
215-545-3744
Fax Number
215-545-3276
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17410 01 DELTA DENTAL INS CO
177109 01 UNITED CONCORDIA INS CO
institution
Provider Business Practice Location Address Details
Address
1522 Locust Street
City
State
Zip
19102
Phone Number
215-545-3744
Fax Number
215-545-3276
person
Provider Business Mailing Address Details
Address
1522 Locust Street
City
State
Zip
19102
Phone Number
215-545-3744
Fax Number
215-545-3276
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
DS017410L (Pennsylvania)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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