| Jay W Dorgan DDS PC | |
|
127 West Street Road Suite 301 Kennett Square PA 19348 | |
| (610) 925-3222 | |
| (610) 925-3180 |
| Full Name | Jay W Dorgan DDS PC |
|---|---|
| Speciality | Dentist |
| Location | 127 West Street Road, Kennett Square, Pennsylvania |
| Authorized Official Name and Position | Jay W Dorgan (OWNER) |
| Authorized Official Contact | 6109253222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay W Dorgan DDS PC 127 West Street Road Suite 301 Kennett Square PA 19348 Ph: (610) 925-3222 | Jay W Dorgan DDS PC 127 West Street Road Suite 301 Kennett Square PA 19348 Ph: (610) 925-3222 |
| NPI Number | 1295809242 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295809242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS021774L (Pennsylvania) | Primary |
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