Provider Demographics
NPI:1740824846
Name:DAVID P STOCKER, DDS AND ASSOCIATES, PC
Entity type:Organization
Organization Name:DAVID P STOCKER, DDS AND ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:SELTZER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:610-269-8522
Mailing Address - Street 1:110 HOPEWELL RD STE 1B
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-1047
Mailing Address - Country:US
Mailing Address - Phone:610-269-8522
Mailing Address - Fax:
Practice Address - Street 1:110 HOPEWELL RD STE 1B
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-1047
Practice Address - Country:US
Practice Address - Phone:610-269-8522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-31
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty