| Keystone Dental Care | |
|
767 5th Ave Ste B-3a Chambersburg PA 17201-4207 | |
| (717) 709-7940 | |
| (717) 263-8014 |
| Full Name | Keystone Dental Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 767 5th Ave Ste B-3a, Chambersburg, Pennsylvania |
| Authorized Official Name and Position | Joanne Cochran (PRESIDENT/CEO) |
| Authorized Official Contact | 7177097906 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Dental Care 111 Chambers Hill Dr Ste 200 Chambersburg PA 17201-7304 Ph: (717) 709-7922 | Keystone Dental Care 767 5th Ave Ste B-3a Chambersburg PA 17201-4207 Ph: (717) 709-7940 |
| NPI Number | 1124026703 |
|---|---|
| Provider Enumeration Date | 07/08/2005 |
| Last Update Date | 05/16/2024 |
| Medicare PECOS PAC ID | 5496663312 |
|---|---|
| Medicare Enrollment ID | O20100506000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124026703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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