| Bedford Dental Professional Corp | |
|
902 Echo Vale Dr Bedford PA 15522 | |
| (814) 623-2217 | |
| (814) 623-6271 |
| Full Name | Bedford Dental Professional Corp |
|---|---|
| Speciality | Dentist |
| Location | 902 Echo Vale Dr, Bedford, Pennsylvania |
| Authorized Official Name and Position | William Michael Stiffler (PRESIDENT CORP) |
| Authorized Official Contact | 8146232217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bedford Dental Professional Corp 902 Echo Vale Dr Bedford PA 15522 Ph: (814) 623-2217 | Bedford Dental Professional Corp 902 Echo Vale Dr Bedford PA 15522 Ph: (814) 623-2217 |
| NPI Number | 1033190640 |
|---|---|
| Provider Enumeration Date | 11/10/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033190640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS020764L (Pennsylvania) | Primary |
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