| Fields Family Dentistry | |
|
2101 Aspen Dr Mechanicsburg PA 17055-5508 | |
| (717) 697-3400 | |
| (717) 697-7857 |
| Full Name | Fields Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2101 Aspen Dr, Mechanicsburg, Pennsylvania |
| Authorized Official Name and Position | Trevor Jasen Mcgerr (MEMBER / OWNER) |
| Authorized Official Contact | 4028902821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fields Family Dentistry 2101 Aspen Dr Mechanicsburg PA 17055-5508 Ph: (717) 697-3400 | Fields Family Dentistry 2101 Aspen Dr Mechanicsburg PA 17055-5508 Ph: (717) 697-3400 |
| NPI Number | 1487152070 |
|---|---|
| Provider Enumeration Date | 01/29/2018 |
| Last Update Date | 01/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487152070 | NPI | - | NPPES |
| 1154696946 | Other | MY PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS040355 (Pennsylvania) | Primary |
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