Provider Demographics
NPI:1043740897
Name:PYLE, DAVID C (DMD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:C
Last Name:PYLE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 N KESWICK AVE
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-4804
Mailing Address - Country:US
Mailing Address - Phone:215-885-4252
Mailing Address - Fax:215-885-7487
Practice Address - Street 1:230 N KESWICK AVE
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-4804
Practice Address - Country:US
Practice Address - Phone:215-885-4252
Practice Address - Fax:215-885-7487
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0413701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADS041370OtherDENTAL LICENSE