Day Dental Anesthesia | |
2636 Killen School Road Nicktown PA 15762 | |
(814) 244-7241 | |
Not Available |
Full Name | Day Dental Anesthesia |
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Speciality | Dentist - Dentist Anesthesiologist |
Location | 2636 Killen School Road, Nicktown, Pennsylvania |
Authorized Official Name and Position | Breanna M Day (DENTIST ANESTHESIOLOGIST) |
Authorized Official Contact | 8142447241 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Day Dental Anesthesia Po Box 181 Nicktown PA 15762-0181 Ph: (814) 244-7241 | Day Dental Anesthesia 2636 Killen School Road Nicktown PA 15762 Ph: (814) 244-7241 |
NPI Number | 1174188486 |
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Provider Enumeration Date | 05/02/2019 |
Last Update Date | 05/02/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174188486 | NPI | - | NPPES |
1031028020001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223D0004X | Dentist - Dentist Anesthesiologist | (* (Not Available)) | Primary |