Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOSEPH JOHN HAVRILLA, DDS
ActiveDR. JOSEPH JOHN HAVRILLA, DDS is a Periodontology healthcare provider located in BROOMALL, Pennsylvania. NPI 1295954618 is currently active in the NPPES registry. Verify at CMS.
Periodontology · BROOMALL, PA
Registration Details
- NPI Number
- 1295954618
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2007 (19.347203088837 yrs)
- Last Updated
- Aug 1, 2019
- License
-
DS024390L (PA)
Practice Information
- Address
-
2004 SPROUL RD STE 204BROOMALL, PA, 190083511Browse PA providers · Browse ZIP 19008
- Phone
- 6103289608
- Fax
- 6103285549
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.