Search › Pennsylvania › 122300000X
Marilyn Bevacqua
NPI 1902853088 · on the registry since 2006
Practice
- Address
- 40 Brookline Blvd
Havertown, PA 19083 - Phone
- (610) 446-4225
- Fax
- (610) 446-4271
- Organisation at this address
- Dental Cloud
Havertown Smile Studio LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania