Healthcare Provider Details

I. General information

NPI: 1831454198
Provider Name (Legal Business Name): MEGAN REBECCA MAGARGAL D.M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2012
Last Update Date: 04/16/2022
Certification Date: 04/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

491 ALLENDALE RD STE 306
KING OF PRUSSIA PA
19406-1432
US

IV. Provider business mailing address

802 ERLEN RD
PLYMOUTH MEETING PA
19462-2410
US

V. Phone/Fax

Practice location:
  • Phone: 610-265-4142
  • Fax:
Mailing address:
  • Phone: 724-984-0018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS039200
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDS039200
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: