| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9173 Route 30, Irwin, Pennsylvania |
| Authorized Official Name and Position | Pamela J Hauth (PRACTICE MANAGER) |
| Authorized Official Contact | 7248634350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9173 Route 30 Irwin PA 15642-3779 Ph: (724) 863-4350 | 9173 Route 30 Irwin PA 15642-3779 Ph: (724) 863-4350 |
| NPI Number | 1578637708 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578637708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Pennsylvania) | Primary |
Edp Of Pennsylvania, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7546 State Route 30, Irwin, PA 15642 Phone: 800-312-1279 | |
Norwin Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10261 Center Hwy, Irwin, PA 15642 Phone: 724-590-5289 | |
Bee Sweet Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11521 Parkway Dr, Irwin, PA 15642 Phone: 724-433-1004 |