| Progressive Dental Group | |
|
95 Grant St Salisbury PA 15558 | |
| (814) 317-9961 | |
| Not Available |
| Full Name | Progressive Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 95 Grant St, Salisbury, Pennsylvania |
| Authorized Official Name and Position | Donald C Chapman (OWNER) |
| Authorized Official Contact | 3043124884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Dental Group 95 Grant St Salisbury PA 15558 Ph: (814) 317-9961 | Progressive Dental Group 95 Grant St Salisbury PA 15558 Ph: (814) 317-9961 |
| NPI Number | 1235489857 |
|---|---|
| Provider Enumeration Date | 09/11/2012 |
| Last Update Date | 08/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235489857 | NPI | - | NPPES |
| WV(3810024331) | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3959 (West Virginia) | Primary |