John L Potter in Allentown - Periodontics

John L Potter - NPI 1538176300

John L Potter is a Periodontics in Allentown, Pennsylvania. John L Potter practices all healthcare services and medical treatments related to Periodontics. The NPI Number for John L Potter is 1538176300. The last update date is 2007-07-08.

John L Potter's current location address is 3131 College Heights Blvd., Allentown, Pennsylvania. You can contact this provider via phone number 6104332300 and fax number 6104334592. The mailing address for John L Potter is 3131 College Heights Blvd., Allentown, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name John L Potter
Address 3131 College Heights Blvd., Allentown, Pennsylvania
Phone Number 6104332300
Fax Number 6104334592
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1538176300
Provider Enumeration Date 2006-08-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3131 College Heights Blvd.
City Allentown
State Pennsylvania (PA)
Post Code 18104
Phone Number 6104332300
Fax Number 6104334592

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No D5028897L
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
743038222 PA TAX ID#

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FAQs about John L Potter

What is the John L Potter's 1538176300?

The John L Potter's NPI (National Provider Identifier) Number is 1538176300. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where John L Potter's facilities are situated?

The facilities of John L Potter are physically located at the following address: 3131 College Heights Blvd., Allentown, PA, 18104.

What is the John L Potter's specialty and taxonomy code?

The John L Potter's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.

On what date was the 1538176300 assigned to John L Potter?

The John L Potter was issued its 1538176300 on 2006-08-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the John L Potter's details last updated?

The information pertaining to the John L Potter, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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