| Kenneth C Boyle Dmd Pc | |
|
111 East Broad Street West Hazleton PA 18202 | |
| (570) 459-2263 | |
| (570) 459-5922 |
| Full Name | Kenneth C Boyle Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 111 East Broad Street, West Hazleton, Pennsylvania |
| Authorized Official Name and Position | Kenneth Charles Boyle (DENTIST) |
| Authorized Official Contact | 5704592263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth C Boyle Dmd Pc 111 East Broad Street West Hazleton PA 18202 Ph: (570) 459-2263 | Kenneth C Boyle Dmd Pc 111 East Broad Street West Hazleton PA 18202 Ph: (570) 459-2263 |
| NPI Number | 1659570869 |
|---|---|
| Provider Enumeration Date | 07/17/2007 |
| Last Update Date | 07/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659570869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS026322L (Pennsylvania) | Primary |
Pelly Dental Inc Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 E Broad St, West Hazleton, PA 18202 Phone: 570-455-8800 |