Provider Demographics
NPI:1730211269
Name:MCDEVITT, PATRICK SEAN (DMD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:SEAN
Last Name:MCDEVITT
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 1:139 ROCK RD
Mailing Address - Street 2:
Mailing Address - City:HONEY BROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19344-1207
Mailing Address - Country:US
Mailing Address - Phone:610-273-7869
Mailing Address - Fax:610-380-3195
Practice Address - Street 1:299 HURLEY RD
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-1525
Practice Address - Country:US
Practice Address - Phone:610-384-4114
Practice Address - Fax:610-380-0195
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-027852-L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist