| Brodhead Dental Center | |
|
3544 Brodhead Rd Monaca PA 15061 | |
| (724) 728-1212 | |
| (724) 728-4339 |
| Full Name | Brodhead Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3544 Brodhead Rd, Monaca, Pennsylvania |
| Authorized Official Name and Position | Richard Joseph Gradisek (OWNER) |
| Authorized Official Contact | 7247281212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brodhead Dental Center 3544 Brodhead Rd Monaca PA 15061-3126 Ph: (724) 728-1212 | Brodhead Dental Center 3544 Brodhead Rd Monaca PA 15061 Ph: (724) 728-1212 |
| NPI Number | 1154526374 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154526374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS022287-L (Pennsylvania) | Primary |
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