MEDICARE: DR. STEVEN SOLOW DMD PC

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	1223P0221X	Pediatric Dentistry	DS028631L	PA
2	1223P0221X	Pediatric Dentistry	DS017405L	PA
3	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DS019948L	PA
4	1223P0221X	Pediatric Dentistry	DS038347	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750760013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. STEVEN SOLOW DMD PC

Provider Business Mailing Address
First Line	:	990 CITY AVE
Second Line	:
City	:	WYNNEWOOD
State	:	PA
Zip	:	19096-4005
Country	:	US
Telephone Number	:	610-649-8383
Fax Number	:

Provider Business Practice Location Address
First Line	:	607 CHESTNUT ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-2311
Country	:	US
Telephone Number	:	215-925-6251
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. SCOTT SOLOW
Credential	:	DDS
Telephone Number	:	610-304-3554

Provider Enumeration Date	:	05/20/2015
Last Update Date	:	05/20/2015

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