| Donegal Dental Center Pc | |
|
3846 Route 31 Ste 5 Donegal PA 15628-4033 | |
| (724) 593-5555 | |
| (724) 593-5554 |
| Full Name | Donegal Dental Center Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3846 Route 31 Ste 5, Donegal, Pennsylvania |
| Authorized Official Name and Position | Mark A Nista (DENTIST/OWNER) |
| Authorized Official Contact | 4129511821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donegal Dental Center Pc 3846 Route 31 Ste 5 Donegal PA 15628-4033 Ph: (724) 593-5555 | Donegal Dental Center Pc 3846 Route 31 Ste 5 Donegal PA 15628-4033 Ph: (724) 593-5555 |
| NPI Number | 1598231193 |
|---|---|
| Provider Enumeration Date | 10/22/2018 |
| Last Update Date | 10/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598231193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |