| Affordable Smiles Of Corry | |
|
209 N Center St Corry PA 16407-1626 | |
| (814) 664-2012 | |
| (814) 664-2017 |
| Full Name | Affordable Smiles Of Corry |
|---|---|
| Speciality | Dentist |
| Location | 209 N Center St, Corry, Pennsylvania |
| Authorized Official Name and Position | Levi R Evalt (OWNER) |
| Authorized Official Contact | 8146642012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affordable Smiles Of Corry 209 N Center St Corry PA 16407-1626 Ph: (814) 664-2012 | Affordable Smiles Of Corry 209 N Center St Corry PA 16407-1626 Ph: (814) 664-2012 |
| NPI Number | 1356839906 |
|---|---|
| Provider Enumeration Date | 04/30/2018 |
| Last Update Date | 04/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356839906 | NPI | - | NPPES |
| 19678900 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS035205 (Pennsylvania) | Primary |
La Dental Inc Levi Evalt Dds Dental Excellence Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 N Center St, Corry, PA 16407 Phone: 814-664-2012 Fax: 814-964-4055 | |
Healthy Smiles Of Corry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 983 N Center St, Corry, PA 16407 Phone: 814-664-4011 Fax: 814-664-9376 | |
Affordable Smiles Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 N Center St, Corry, PA 16407 Phone: 814-664-2012 Fax: 814-664-2017 |