Centerville Clinics Ins Dental | |
1070 Old National Pike Fredericktown PA 15333-2114 | |
(724) 632-1680 | |
Not Available |
Full Name | Centerville Clinics Ins Dental |
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Speciality | Dentist |
Location | 1070 Old National Pike, Fredericktown, Pennsylvania |
Authorized Official Name and Position | Patricia Martos (DIRECTOR FINANCE/PERSONNEL) |
Authorized Official Contact | 7246326801 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Centerville Clinics Ins Dental 1070 Old National Pike Fredericktown PA 15333-2114 Ph: (724) 632-1680 | Centerville Clinics Ins Dental 1070 Old National Pike Fredericktown PA 15333-2114 Ph: (724) 632-1680 |
NPI Number | 1194757559 |
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Provider Enumeration Date | 07/07/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194757559 | NPI | - | NPPES |
1007288440027 | Medicaid | PA | |
164629 | Other | PA | HIGHMARK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |