Provider Demographics
NPI:1851435515
Name:DAHAR, PHILIP J (DMD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:J
Last Name:DAHAR
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 1:125 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2403
Mailing Address - Country:US
Mailing Address - Phone:724-834-4004
Mailing Address - Fax:724-834-3581
Practice Address - Street 1:125 N MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2403
Practice Address - Country:US
Practice Address - Phone:724-834-4004
Practice Address - Fax:724-834-3581
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS017083L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics