| Berks Orthodontics, Pc | |
|
5318 Allentown Pike Temple PA 19560-1249 | |
| (610) 223-7777 | |
| Not Available |
| Full Name | Berks Orthodontics, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5318 Allentown Pike, Temple, Pennsylvania |
| Authorized Official Name and Position | Jason Michael Hartman (PRESIDENT/ORTHODONTIST) |
| Authorized Official Contact | 6103343278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berks Orthodontics, Pc 5318 Allentown Pike Temple PA 19560-1249 Ph: (610) 223-7777 | Berks Orthodontics, Pc 5318 Allentown Pike Temple PA 19560-1249 Ph: (610) 223-7777 |
| NPI Number | 1356617989 |
|---|---|
| Provider Enumeration Date | 03/28/2012 |
| Last Update Date | 03/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356617989 | NPI | - | NPPES |
| 1023923970001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DS038055 (Pennsylvania) | Primary |
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