Dental Arts Pc | |
386 Northampton St Edwardsville PA 18704-5448 | |
(570) 283-0554 | |
(570) 283-0555 |
Full Name | Dental Arts Pc |
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Speciality | Dentist - General Practice |
Location | 386 Northampton St, Edwardsville, Pennsylvania |
Authorized Official Name and Position | Kenneth Reichard (DENTIST) |
Authorized Official Contact | 5702830554 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Arts Pc 386 Northampton St Edwardsville PA 18704-5448 Ph: (570) 283-0554 | Dental Arts Pc 386 Northampton St Edwardsville PA 18704-5448 Ph: (570) 283-0554 |
NPI Number | 1316227283 |
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Provider Enumeration Date | 08/24/2011 |
Last Update Date | 08/24/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316227283 | NPI | - | NPPES |
0005285460001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DAO19968L (Pennsylvania) | Primary |
Hi-tech Dental Arts Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 386 Northampton St, Edwardsville, PA 18704 Phone: 148-441-0420 |