| Dental Professionals Of Pennsylvania, P.c. | |
|
1200 Ashwood Dr Ste 1202 Canonsburg PA 15317-4982 | |
| (724) 746-3240 | |
| Not Available |
| Full Name | Dental Professionals Of Pennsylvania, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1200 Ashwood Dr Ste 1202, Canonsburg, Pennsylvania |
| Authorized Official Name and Position | Hillary Thull (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professionals Of Pennsylvania, P.c. 1200 Ashwood Dr Ste 1202 Canonsburg PA 15317-4982 Ph: () - | Dental Professionals Of Pennsylvania, P.c. 1200 Ashwood Dr Ste 1202 Canonsburg PA 15317-4982 Ph: (724) 746-3240 |
| NPI Number | 1962162891 |
|---|---|
| Provider Enumeration Date | 12/20/2021 |
| Last Update Date | 12/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962162891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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