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NPI Code Detail

MEDICARE: DR. ADAM P. CRAVEN JR. DDS

MEDICARE:  DR. ADAM P. CRAVEN JR. DDS
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
11223G0001XGeneral Practice DentistryDS21062LPA

General Provider Information

NPI Number : 1073720116
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM P. CRAVEN JR. DDS
Provider Business Mailing Address
First Line : 7501 STENTON AVE.
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19150
Country : US
Telephone Number : 215-549-4411
Fax Number : 215-549-5120
Provider Business Practice Location Address
First Line : 7501 STENTON AVE.
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19150
Country : US
Telephone Number : 215-549-4411
Fax Number : 215-549-5120
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2007
Last Update Date : 07/08/2007

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Directions to “ DR. ADAM P. CRAVEN JR. DDS” Practice Location

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