Healthcare Provider Details

I. General information

NPI: 1730332883
Provider Name (Legal Business Name): NACIYE GUZIN UZEL D.M.D.,D.M.SC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2008
Last Update Date: 11/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 S 40TH ST
PHILADELPHIA PA
19104-6030
US

IV. Provider business mailing address

1127 SANDRINGHAM RD
BALA CYNWYD PA
19004-2022
US

V. Phone/Fax

Practice location:
  • Phone: 215-898-3268
  • Fax:
Mailing address:
  • Phone: 484-270-8575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License NumberDS037675
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: