MEDICARE: DR. MEHMET ILHAN UZEL D.M.D.,D.SC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DS037006	PA
2	122300000X	Dentist	21477	MA
3	122300000X	Dentist	22DI02344800	NJ

General Provider Information

NPI Number	:	1023228889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEHMET ILHAN UZEL D.M.D.,D.SC

Provider Business Mailing Address
First Line	:	102 SCHOOL HOUSE LN
Second Line	:
City	:	ARDMORE
State	:	PA
Zip	:	19003-3310
Country	:	US
Telephone Number	:	617-827-4038
Fax Number	:

Provider Business Practice Location Address
First Line	:	722 MARKET ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-2312
Country	:	US
Telephone Number	:	215-922-5100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	07/08/2007

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