| Dentica, Inc. | |
|
330 Morganza Rd Canonsburg PA 15317-8547 | |
| (724) 916-0111 | |
| (724) 916-0114 |
| Full Name | Dentica, Inc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 330 Morganza Rd, Canonsburg, Pennsylvania |
| Authorized Official Name and Position | James L. Goldsmith (DENTIST) |
| Authorized Official Contact | 7249160111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentica, Inc. 330 Morganza Rd Canonsburg PA 15317-8547 Ph: (724) 916-0111 | Dentica, Inc. 330 Morganza Rd Canonsburg PA 15317-8547 Ph: (724) 916-0111 |
| NPI Number | 1730364241 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 09/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730364241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DS026642L (Pennsylvania) | Primary |
| 1223P0300X | Dentist - Periodontics | DS028576L (Pennsylvania) | Secondary |
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Dentica Associates, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Morganza Rd, Canonsburg, PA 15317 Phone: 724-916-0111 Fax: 724-916-0114 | |
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