| Idp Punxsutawney Llc | |
|
219 N Main St Punxsutawney PA 15767-1217 | |
| (814) 938-2222 | |
| (814) 938-0931 |
| Full Name | Idp Punxsutawney Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 219 N Main St, Punxsutawney, Pennsylvania |
| Authorized Official Name and Position | Julie Smith (OPERATIONS FACILITATOR) |
| Authorized Official Contact | 2317395105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idp Punxsutawney Llc 219 N Main St Punxsutawney PA 15767-1217 Ph: (814) 938-2222 | Idp Punxsutawney Llc 219 N Main St Punxsutawney PA 15767-1217 Ph: (814) 938-2222 |
| NPI Number | 1245672419 |
|---|---|
| Provider Enumeration Date | 07/29/2013 |
| Last Update Date | 07/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245672419 | NPI | - | NPPES |
| 0006936660001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS018913L (Pennsylvania) | Primary |
Smatlak & Gisliotti, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Clearfield Ave, Punxsutawney, PA 15767 Phone: 814-938-8554 Fax: 814-938-8559 | |
Punxsutawney Dental Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 232 N Main St, Punxsutawney, PA 15767 Phone: 814-938-8000 Fax: 814-938-8696 | |
Smatlak & Gigliotti Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Clearfield Ave, Punxsutawney, PA 15767 Phone: 814-938-8554 Fax: 814-938-8559 |