Healthcare Provider Details

I. General information

NPI: 1528273133
Provider Name (Legal Business Name): STEVEN OCHSENREITHER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 06/24/2020
Certification Date: 06/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 FITZWATERTOWN RD STE 3
WILLOW GROVE PA
19090-1338
US

IV. Provider business mailing address

735 FITZWATERTOWN RD STE 3
WILLOW GROVE PA
19090-1338
US

V. Phone/Fax

Practice location:
  • Phone: 215-672-8588
  • Fax: 215-366-5259
Mailing address:
  • Phone: 215-672-8588
  • Fax: 215-366-5259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS027379L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: