John B. Dietz D.m.d.,pc | |
2210 Wilmington Rd New Castle PA 16105-1933 | |
(724) 652-7491 | |
(724) 652-0810 |
Full Name | John B. Dietz D.m.d.,pc |
---|---|
Speciality | Dentist |
Location | 2210 Wilmington Rd, New Castle, Pennsylvania |
Authorized Official Name and Position | John B Dietz (OWNER) |
Authorized Official Contact | 7246527491 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
John B. Dietz D.m.d.,pc 2210 Wilmington Rd New Castle PA 16105-1933 Ph: (724) 652-7491 | John B. Dietz D.m.d.,pc 2210 Wilmington Rd New Castle PA 16105-1933 Ph: (724) 652-7491 |
NPI Number | 1790957462 |
---|---|
Provider Enumeration Date | 04/02/2008 |
Last Update Date | 04/02/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790957462 | NPI | - | NPPES |
1016280930001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DS021716 (Pennsylvania) | Primary |
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