Healthcare Provider Details

I. General information

NPI: 1093075806
Provider Name (Legal Business Name): NEWTOWN DENTAL CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2012
Last Update Date: 05/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 CAMBRIDGE LN
NEWTOWN PA
18940-3326
US

IV. Provider business mailing address

7 CAMBRIDGE LN
NEWTOWN PA
18940-3326
US

V. Phone/Fax

Practice location:
  • Phone: 215-968-7787
  • Fax: 215-968-9363
Mailing address:
  • Phone: 215-968-7787
  • Fax: 215-968-9363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS-023086-L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. EDWARD ALAN MAGIDA
Title or Position: OWNER
Credential: DMD
Phone: 215-968-7787