Healthcare Provider Details
I. General information
NPI: 1891585857
Provider Name (Legal Business Name): PROCARE ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 VILLAGE ROW STE 46
NEW HOPE PA
18938-1061
US
IV. Provider business mailing address
1 VILLAGE ROW STE 46
NEW HOPE PA
18938-1061
US
V. Phone/Fax
- Phone: 215-277-8364
- Fax: 267-740-7144
- Phone: 215-277-8364
- Fax: 267-740-7144
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223E0200X |
| Taxonomy | Endodontics |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223X0400X |
| Taxonomy | Orthodontics and Dentofacial Orthopedics Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MARTIN
HOWARD
STESS
Title or Position: PARTNER
Credential: DMD
Phone: 215-277-8364