| Childrens General Dentistry Pc | |
|
39 W Ludlow St Suite 1 Summit Hill PA 18250-1141 | |
| (570) 645-2044 | |
| Not Available |
| Full Name | Childrens General Dentistry Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 39 W Ludlow St, Summit Hill, Pennsylvania |
| Authorized Official Name and Position | Richard Louis Vermillion (PRESIDENT) |
| Authorized Official Contact | 5706452044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens General Dentistry Pc 39 W Ludlow St Suite 1 Summit Hill PA 18250-1141 Ph: () - | Childrens General Dentistry Pc 39 W Ludlow St Suite 1 Summit Hill PA 18250-1141 Ph: (570) 645-2044 |
| NPI Number | 1578966180 |
|---|---|
| Provider Enumeration Date | 09/28/2014 |
| Last Update Date | 09/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578966180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Vermillion Dental Office Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 W Ludlow St, Summit Hill, PA 18250 Phone: 570-645-2044 Fax: 570-645-9660 |