| Thomas Krakower, D.m.d., Llc | |
|
1068 W Baltimore Pike Suite 2304 Riddle Health Care Center Ii Media PA 19063-5104 | |
| (610) 744-2888 | |
| (610) 744-2832 |
| Full Name | Thomas Krakower, D.m.d., Llc |
|---|---|
| Speciality | Dentist |
| Location | 1068 W Baltimore Pike, Media, Pennsylvania |
| Authorized Official Name and Position | Thomas Krakower (PRESIDENT/ OWNER) |
| Authorized Official Contact | 6107442888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Krakower, D.m.d., Llc 1068 W Baltimore Pike Suite 2304 Riddle Health Care Center Ii Media PA 19063-5104 Ph: (610) 744-2888 | Thomas Krakower, D.m.d., Llc 1068 W Baltimore Pike Suite 2304 Riddle Health Care Center Ii Media PA 19063-5104 Ph: (610) 744-2888 |
| NPI Number | 1417185893 |
|---|---|
| Provider Enumeration Date | 06/24/2009 |
| Last Update Date | 08/25/2014 |
| Medicare PECOS PAC ID | 1951456094 |
|---|---|
| Medicare Enrollment ID | O20090826000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417185893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS018722L (Pennsylvania) | Primary |
| Provider Name | Thomas Krakower |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1487735064 PECOS PAC ID: 2062567100 Enrollment ID: I20090826000221 |
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