| Hostetler Family Dentistry Pc | |
|
665 Cherry Tree Ln #b Uniontown PA 15401-8947 | |
| (724) 438-7676 | |
| (724) 438-3060 |
| Full Name | Hostetler Family Dentistry Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 665 Cherry Tree Ln, Uniontown, Pennsylvania |
| Authorized Official Name and Position | Kelly Dawn Hostetler (DENTIST) |
| Authorized Official Contact | 7244387676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hostetler Family Dentistry Pc 665 Cherry Tree Ln #b Uniontown PA 15401-8947 Ph: (724) 438-7676 | Hostetler Family Dentistry Pc 665 Cherry Tree Ln #b Uniontown PA 15401-8947 Ph: (724) 438-7676 |
| NPI Number | 1184632473 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184632473 | NPI | - | NPPES |
| 030210 | Other | PA | DELTA |
| 963585 | Other | PA | BCBS |
| 0018764910001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS030210L (Pennsylvania) | Primary |
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