NPI 1922030436

Alfred Deprophetis, DDS

Practitioner Orthodontics and Dentofacial Orthopedics Dentistry Boothwyn, PA

Practice location

Address: 1440 Conchester Highway, Boothwyn, PA 19061
Phone: (610) 459-4523
Fax: (610) 459-9716

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence DS017875L (PA)

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Registry record

NPI: 1922030436
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2006
Record last updated: 9 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.