| Crosstown Dental Group | |
|
1230 E Main St Palmyra PA 17078-9505 | |
| (717) 838-5425 | |
| Not Available |
| Full Name | Crosstown Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1230 E Main St, Palmyra, Pennsylvania |
| Authorized Official Name and Position | John Howard Kiessling (MEMBER) |
| Authorized Official Contact | 7176488695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crosstown Dental Group 7230 Redtop Rd Hummelstown PA 17036-9556 Ph: (717) 648-8695 | Crosstown Dental Group 1230 E Main St Palmyra PA 17078-9505 Ph: (717) 838-5425 |
| NPI Number | 1073043758 |
|---|---|
| Provider Enumeration Date | 06/15/2017 |
| Last Update Date | 06/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073043758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS025189L (Pennsylvania) | Primary |
Progressive Dental Concepts Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1230 E Main St, Palmyra, PA 17078 Phone: 717-838-5425 | |
Mimosa Family Dentistry, Pc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 W Cherry St, Palmyra, PA 17078 Phone: 717-838-1338 Fax: 717-838-7003 |