Dr. Neal Phatak, DDS
Dentist in Annville, PA. Individual provider (NPI-1).
NPI number1861697930
StatusActive
Last updated in NPPESMay 21, 2016
Details
- NPI
- 1861697930
- Entity type
- Individual (NPI-1)
- Name
- Dr. Neal Phatak
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 19, 2007
- Last updated
- May 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DS039784 | PA | Yes |
| 122300000X | Dentist | 050977 | NY |
Practice location
1 Jasons WayAnnville, PA 17003-2037
Phone 717-867-5088
Mailing address
1 Jasons WayAnnville, PA 17003-2037
Phone 717-867-5088
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All 7 Dentist providers in Annville · All 172 providers in Annville
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