Christian Santana D D S P C | |
21 E Broad St Ste C Hazleton PA 18201-6511 | |
(570) 497-4081 | |
(570) 497-4082 |
Full Name | Christian Santana D D S P C |
---|---|
Speciality | Clinic/Center |
Location | 21 E Broad St Ste C, Hazleton, Pennsylvania |
Authorized Official Name and Position | Christian F Santana (DENTIST PRESIDENT) |
Authorized Official Contact | 5704974081 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Christian Santana D D S P C 21 E Broad St Ste C Hazleton PA 18201-6511 Ph: (570) 497-4081 | Christian Santana D D S P C 21 E Broad St Ste C Hazleton PA 18201-6511 Ph: (570) 497-4081 |
NPI Number | 1164723474 |
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Provider Enumeration Date | 11/03/2010 |
Last Update Date | 10/30/2023 |
Medicare PECOS PAC ID | 8426407909 |
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Medicare Enrollment ID | O20231208002052 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164723474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Provider Name | Christian Santana |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1104037613 PECOS PAC ID: 7416339635 Enrollment ID: I20231208002165 |
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