| Jeannette Dental Center Inc. | |
|
500 Harrison Ave Jeannette PA 15644-1915 | |
| (724) 523-5551 | |
| (724) 523-4738 |
| Full Name | Jeannette Dental Center Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 500 Harrison Ave, Jeannette, Pennsylvania |
| Authorized Official Name and Position | Dennis Paul Marcelli (PRESIDENT) |
| Authorized Official Contact | 7245235551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeannette Dental Center Inc. 500 Harrison Ave Jeannette PA 15644-1915 Ph: (724) 523-5551 | Jeannette Dental Center Inc. 500 Harrison Ave Jeannette PA 15644-1915 Ph: (724) 523-5551 |
| NPI Number | 1104995646 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 02/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104995646 | NPI | - | NPPES |
| 435247 | Other | PA | UCCI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS023747L (Pennsylvania) | Primary |
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