Provider Demographics
NPI:1477894103
Name:VIRTUE, MARC ERIC (DDS)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:ERIC
Last Name:VIRTUE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:589 WILMINGTON W CHESTER PIKE # H02B
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-8191
Mailing Address - Country:US
Mailing Address - Phone:844-639-9066
Mailing Address - Fax:
Practice Address - Street 1:589 WILMINGTON W CHESTER PIKE # H02B
Practice Address - Street 2:
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-8191
Practice Address - Country:US
Practice Address - Phone:484-639-9066
Practice Address - Fax:484-639-9066
Is Sole Proprietor?:No
Enumeration Date:2013-03-05
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0412391223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry