| Forty Fort Dental Llc | |
|
1590 Wyoming Ave Forty Fort PA 18704-4226 | |
| (570) 288-8170 | |
| Not Available |
| Full Name | Forty Fort Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1590 Wyoming Ave, Forty Fort, Pennsylvania |
| Authorized Official Name and Position | Kelly S Williams (PRESIDENT) |
| Authorized Official Contact | 5709057638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forty Fort Dental Llc 328 Bodle Rd Wyoming PA 18644-6016 Ph: (570) 410-1035 | Forty Fort Dental Llc 1590 Wyoming Ave Forty Fort PA 18704-4226 Ph: (570) 288-8170 |
| NPI Number | 1922433937 |
|---|---|
| Provider Enumeration Date | 09/09/2013 |
| Last Update Date | 09/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922433937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS035245 (Pennsylvania) | Primary |
Stephen M. Lawrence ,dmd, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-288-5588 Fax: 570-288-4345 | |
Carpenter Dental Charles M. Carpenter Charles M. Carpenter Jr. P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1086 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-331-0909 Fax: 570-714-5184 | |
Nepa Dental Group, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Wyoming Ave Ste 104, Forty Fort, PA 18704 Phone: 570-283-2422 Fax: 570-283-1492 | |
Angela C. Resavage Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1590 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-288-8170 |