Fleetwood Dental Professional Corporation | |
805 N Richmond Street Suite 102 Fleetwood PA 19522 | |
(610) 944-9771 | |
(610) 944-0702 |
Full Name | Fleetwood Dental Professional Corporation |
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Speciality | Dentist - General Practice |
Location | 805 N Richmond Street, Fleetwood, Pennsylvania |
Authorized Official Name and Position | Michelle M Lee (OWNER) |
Authorized Official Contact | 6109449771 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fleetwood Dental Professional Corporation 805 N Richmond Street Suite 102 Fleetwood PA 19522 Ph: (610) 944-9771 | Fleetwood Dental Professional Corporation 805 N Richmond Street Suite 102 Fleetwood PA 19522 Ph: (610) 944-9771 |
NPI Number | 1104091388 |
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Provider Enumeration Date | 04/28/2008 |
Last Update Date | 12/02/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104091388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS036286 (Pennsylvania) | Primary |
Ronald I. Reiter, Dmd, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Highland Dr, Fleetwood, PA 19522 Phone: 610-987-0668 Fax: 610-987-0668 | |
Fleetwood Family Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 438 Park Rd, Fleetwood, PA 19522 Phone: 610-944-0551 |