| Centerville Clinics Inc | |
|
208 S Arch St Connellsville PA 15425-3519 | |
| (724) 626-2630 | |
| (724) 626-2655 |
| Full Name | Centerville Clinics Inc |
|---|---|
| Speciality | Dentist |
| Location | 208 S Arch St, Connellsville, Pennsylvania |
| Authorized Official Name and Position | Patricia Martos (DIRECTOR OF FINANCE/PERSONNEL) |
| Authorized Official Contact | 7246326801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerville Clinics Inc 1070 Old National Pike Fredericktown PA 15333-2114 Ph: (724) 632-6801 | Centerville Clinics Inc 208 S Arch St Connellsville PA 15425-3519 Ph: (724) 626-2630 |
| NPI Number | 1013999465 |
|---|---|
| Provider Enumeration Date | 11/18/2005 |
| Last Update Date | 04/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013999465 | NPI | - | NPPES |
| 1007288440037 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
| 126800000X | Dental Assistant | (* (Not Available)) | Secondary |
Chomiak Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Noth Pittsburgh Street, Suite B, Connellsville, PA 15425 Phone: 724-628-8110 Fax: 724-628-8802 | |
Grimaldi Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Memorial Blvd, Connellsville, PA 15425 Phone: 724-628-2330 | |
Ravi Balu Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Laurel Dr, Connellsville, PA 15425 Phone: 724-628-9340 Fax: 724-628-4090 |