Provider Demographics
NPI:1174685291
Name:LEMPER, MICHAEL ALFRED (DMD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ALFRED
Last Name:LEMPER
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 1:108 BLACKBURN DR
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19362-9632
Mailing Address - Country:US
Mailing Address - Phone:215-868-9510
Mailing Address - Fax:
Practice Address - Street 1:519 BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-9304
Practice Address - Country:US
Practice Address - Phone:610-388-2131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0357971223P0221X
MD138221223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101486210Medicaid