NPI 1174678205

Peter Paul Patellis, DMD

Practitioner Dentist Kennett Square, PA

Practice location

Address: 208 N Union St, Kennett Square, PA 19348-2925
Phone: (610) 444-6311
Fax: (610) 444-6153

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DS0296924L (PA)

Other Dentist providers in Pennsylvania →

Dentist

Dental Providers Taxonomy 122300000X Licence G1-0001195 (DE)

Registry record

NPI: 1174678205
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.