| Cherry Ridge Dental Center | |
|
3025 Lake Ariel Hwy Honesdale PA 18431 | |
| (570) 253-4245 | |
| (570) 253-8957 |
| Full Name | Cherry Ridge Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 3025 Lake Ariel Hwy, Honesdale, Pennsylvania |
| Authorized Official Name and Position | Lawrence Glen Caruth (PRESIDENT OWNER) |
| Authorized Official Contact | 5702534245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherry Ridge Dental Center 3025 Lake Ariel Hwy Honesdale PA 18431 Ph: (570) 253-4245 | Cherry Ridge Dental Center 3025 Lake Ariel Hwy Honesdale PA 18431 Ph: (570) 253-4245 |
| NPI Number | 1790842375 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790842375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 015861 (Pennsylvania) | Primary |
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