Complete Dental Care Of Whitaker | |
107 Whitaker St Homestead PA 15120-2411 | |
(412) 462-7710 | |
(412) 462-7710 |
Full Name | Complete Dental Care Of Whitaker |
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Speciality | Dentist |
Location | 107 Whitaker St, Homestead, Pennsylvania |
Authorized Official Name and Position | Robert A Doyle (OWNER/DENTIST) |
Authorized Official Contact | 4124627710 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Complete Dental Care Of Whitaker 107 Whitaker St Homestead PA 15120-2411 Ph: (412) 462-7710 | Complete Dental Care Of Whitaker 107 Whitaker St Homestead PA 15120-2411 Ph: (412) 462-7710 |
NPI Number | 1104298728 |
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Provider Enumeration Date | 10/22/2015 |
Last Update Date | 10/22/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104298728 | NPI | - | NPPES |
102026760 | Medicaid | PA | |
10303064 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DS035693 (Pennsylvania) | Primary |
122300000X | Dentist | DS037954 (Pennsylvania) | Secondary |
Professional Dental Alliance Of Homestead Whitaker, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Whitaker St, Homestead, PA 15120 Phone: 412-462-7710 | |
Edward A Mucha Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 E 8th Ave, Homestead, PA 15120 Phone: 412-461-1360 Fax: 412-461-1360 |