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241 Schoolhouse Rd Johnstown PA 15904-3219 | |
| (814) 266-9535 | |
| (814) 266-9305 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 241 Schoolhouse Rd, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
241 Schoolhouse Rd Johnstown PA 15904-3219 Ph: (814) 266-9535 | 241 Schoolhouse Rd Johnstown PA 15904-3219 Ph: (814) 266-9535 |
| NPI Number | 1992879001 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 04/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992879001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS029923L (Pennsylvania) | Primary |
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