Provider Demographics
NPI:1023228889
Name:UZEL, MEHMET ILHAN (DMD,DSC)
Entity type:Individual
Prefix:DR
First Name:MEHMET
Middle Name:ILHAN
Last Name:UZEL
Suffix:
Gender:M
Credentials:DMD,DSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 SCHOOL HOUSE LN
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-3310
Mailing Address - Country:US
Mailing Address - Phone:617-827-4038
Mailing Address - Fax:
Practice Address - Street 1:722 MARKET ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-2312
Practice Address - Country:US
Practice Address - Phone:215-922-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS037006122300000X
MA21477122300000X
NJ22DI02344800122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist