MEDICARE: DR. STEVEN D. CAWLEY 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
1	1223G0001X	General Practice Dentistry	DS037101	PA

General Provider Information

NPI Number	:	1376676981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN D. CAWLEY DDS

Provider Business Mailing Address
First Line	:	1210 E MAIN ST
Second Line	:
City	:	MOUNT JOY
State	:	PA
Zip	:	17552-9338
Country	:	US
Telephone Number	:	717-928-2653
Fax Number	:	717-928-2650

Provider Business Practice Location Address
First Line	:	1210 E MAIN ST
Second Line	:
City	:	MOUNT JOY
State	:	PA
Zip	:	17552-9338
Country	:	US
Telephone Number	:	717-928-2653
Fax Number	:	717-928-2650

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

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	07/08/2007

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