Chestnuthill Dental Group, P.c. | |
Midtown Plaza, Rt 209 Brodheadsville PA 18322-1089 | |
(570) 402-4001 | |
(570) 402-4002 |
Full Name | Chestnuthill Dental Group, P.c. |
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Speciality | Dentist - General Practice |
Location | Midtown Plaza, Rt 209, Brodheadsville, Pennsylvania |
Authorized Official Name and Position | James P. Newman (CEO) |
Authorized Official Contact | 5704024001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Chestnuthill Dental Group, P.c. Po Box 1089 Midtown Plaza, Rt 209 Brodheadsville PA 18322-1089 Ph: (570) 402-4001 | Chestnuthill Dental Group, P.c. Midtown Plaza, Rt 209 Brodheadsville PA 18322-1089 Ph: (570) 402-4001 |
NPI Number | 1801958327 |
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Provider Enumeration Date | 12/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1801958327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | DS- 029560-L (Pennsylvania) | Primary |