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NPI Code Detail

MEDICARE: DR. EDWARD P THIEVON DMD

MEDICARE: DR. EDWARD P THIEVON DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDSO28083LPA

General Provider Information

NPI Number : 1689885030
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD P THIEVON DMD
Provider Business Mailing Address
First Line : 36 GABLE WING CIR
Second Line :
City : NEWTOWN
State : PA
Zip : 18940
Country : US
Telephone Number : 215-579-2405
Fax Number :
Provider Business Practice Location Address
First Line : 532 S OXFORD VALLEY RD
Second Line :
City : FAIRLESS HILLS
State : PA
Zip : 19030-2615
Country : US
Telephone Number : 215-946-3655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2007
Last Update Date : 07/08/2007

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Directions to “ DR. EDWARD P THIEVON DMD” Practice Location

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