Provider Demographics
NPI:1588043848
Name:DR. STEVEN SOLOW DMD PC
Entity Type:Organization
Organization Name:DR. STEVEN SOLOW DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLOW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:610-304-3554
Mailing Address - Street 1:990 CITY AVE
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-4005
Mailing Address - Country:US
Mailing Address - Phone:610-649-8383
Mailing Address - Fax:
Practice Address - Street 1:7847 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-2508
Practice Address - Country:US
Practice Address - Phone:215-635-5560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0383471223P0221X
PADS028631L1223P0221X
PADS017405L1223P0221X
PADS019948L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1026773500001Medicaid