| Indiana Regional Medical Center | |
|
835 Hospital Road Pediatric & Adolescent Dental Clinic Indiana PA 15701-0788 | |
| (724) 357-6960 | |
| (724) 357-6961 |
| Full Name | Indiana Regional Medical Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 835 Hospital Road, Indiana, Pennsylvania |
| Authorized Official Name and Position | Michael F Ickowski (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7243577008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Regional Medical Center 835 Hospital Road Po Box 788 Indiana PA 15701-0788 Ph: (724) 357-7009 | Indiana Regional Medical Center 835 Hospital Road Pediatric & Adolescent Dental Clinic Indiana PA 15701-0788 Ph: (724) 357-6960 |
| NPI Number | 1770614919 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 07/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770614919 | NPI | - | NPPES |
| 100771353 0003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 090701 (Pennsylvania) | Primary |
Gary R Eggler Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 Hospital Road, Suite 1100, Indiana, PA 15701 Phone: 724-349-9220 Fax: 724-349-9221 | |
East Market Family Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1177 S 6th St Ste E, Indiana, PA 15701 Phone: 724-349-9661 | |
Cavalancia Orthodontic Group, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 152 N 5th St, Indiana, PA 15701 Phone: 724-463-7700 Fax: 724-463-7738 | |
Premier Dental Alliance Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1177 S 6th St, Indiana, PA 15701 Phone: 724-349-3368 Fax: 724-717-6141 | |
Chestnut Hills Dental Indiana Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 655 Church St Ste 300, Indiana, PA 15701 Phone: 724-349-8380 Fax: 724-349-3702 | |
Gaylan K. Ross D.m.d., Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1290 Mansfield Ave, Indiana, PA 15701 Phone: 724-349-5660 Fax: 724-349-5661 |