| Langan Dental Pc | |
|
260 N State St Clarks Summit PA 18411-1058 | |
| (570) 587-4227 | |
| (570) 319-9754 |
| Full Name | Langan Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 260 N State St, Clarks Summit, Pennsylvania |
| Authorized Official Name and Position | Thomas A Langan (OWNER/DENTIST) |
| Authorized Official Contact | 5705874227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Langan Dental Pc 260 N State St Clarks Summit PA 18411-1058 Ph: (570) 587-4227 | Langan Dental Pc 260 N State St Clarks Summit PA 18411-1058 Ph: (570) 587-4227 |
| NPI Number | 1447796040 |
|---|---|
| Provider Enumeration Date | 01/06/2017 |
| Last Update Date | 01/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447796040 | NPI | - | NPPES |
| 0011103390001 | Medicaid | PA | |
| 1031357050002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS026034L (Pennsylvania) | Secondary |
| 261QD0000X | Clinic/center - Dental | DS041010 (Pennsylvania) | Primary |
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