| David L Gordley Dds Llc | |
|
211 Grove City Rd Slippery Rock PA 16057 | |
| (724) 794-2000 | |
| (724) 794-4546 |
| Full Name | David L Gordley Dds Llc |
|---|---|
| Speciality | Dentist |
| Location | 211 Grove City Rd, Slippery Rock, Pennsylvania |
| Authorized Official Name and Position | David Lyle Gordley (MANAGER) |
| Authorized Official Contact | 7247942000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David L Gordley Dds Llc 211 Grove City Rd Slippery Rock PA 16057 Ph: (724) 794-2000 | David L Gordley Dds Llc 211 Grove City Rd Slippery Rock PA 16057 Ph: (724) 794-2000 |
| NPI Number | 1134399835 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 03/10/2008 |
| Medicare PECOS PAC ID | 0244514131 |
|---|---|
| Medicare Enrollment ID | O20170221000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134399835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS031461L (Pennsylvania) | Primary |
| Provider Name | David L Gordley |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1346257094 PECOS PAC ID: 9739479403 Enrollment ID: I20170315000474 |
| Provider Name | Emily C Halle |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1255691705 PECOS PAC ID: 8123318896 Enrollment ID: I20170315001093 |
| Provider Name | Christina S Cowley |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1437565660 PECOS PAC ID: 9931499654 Enrollment ID: I20170317001410 |
Allied Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 South Main Street, Slippery Rock, PA 16057 Phone: 724-794-2224 Fax: 724-794-2225 | |
Pennsylvania Mobile Anesthesia Associates, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 S Main St, Slippery Rock, PA 16057 Phone: 724-794-2224 |