MEDICARE: HEYWOOD ROY KOTCH D.M.D.

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	DS020796L	PA

General Provider Information

NPI Number	:	1891827291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEYWOOD ROY KOTCH D.M.D.

Provider Business Mailing Address
First Line	:	240 S 40TH ST
Second Line	:	PENN DENTAL MEDICINE
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-6030
Country	:	US
Telephone Number	:	215-898-8946
Fax Number	:	215-573-4090

Provider Business Practice Location Address
First Line	:	240 S 40TH ST
Second Line	:	PENN DENTAL MEDICINE
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-6030
Country	:	US
Telephone Number	:	215-898-8946
Fax Number	:	215-573-4090

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

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	04/22/2011

Similar Medicare Providers

1740281724 — DR. SEAN CHRISTOPHER MEEHAN D.M.D.
Practice Location Address:

240 S 40TH ST
PHILADELPHIA, PA
19104-6030

Practice Phone: 215-746-7982
Practice Fax:

1821034588 — NAJEED SALEH DMD
Practice Location Address:

240 S 40TH ST
PHILADELPHIA, PA
19104-6030

Practice Phone: 215-746-4675
Practice Fax:

1407881113 — DR. CORRIE JEAN CROWE DDS
Practice Location Address:

240 S 40TH ST STE 916
PHILADELPHIA, PA
19104-6030

Practice Phone: 215-898-8965
Practice Fax: 215-573-4090

1043308646 — DR. CHRISTOPHER KRZYSZTOF KROWICKI D.D.S.
Practice Location Address:

240 S 40TH ST
PHILADELPHIA, PA
19104-6030

Practice Phone: 215-898-4615
Practice Fax:

1750437885 — DANA GRAVES DDS
Practice Location Address:

240 S 40TH ST , EVANS BUILDING
PHILADELPHIA, PA
19104-6030

Practice Phone: 215-898-9068
Practice Fax:

1588793855 — DR. ROCHELLE G. LINDEMEYER DMD
Practice Location Address:

240 S 40TH ST , PEDIATRIC DENT-SCHOOL OF DENTAL MEDICINE
PHILADELPHIA, PA
19104-6030

Practice Phone: 215-590-1564
Practice Fax:

Directions to “ HEYWOOD ROY KOTCH D.M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.