| Melanie E. Jordan, Dds, Pc | |
|
816 State St Floor One Curwensville PA 16833-1039 | |
| (814) 236-0539 | |
| (814) 236-0443 |
| Full Name | Melanie E. Jordan, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 816 State St, Curwensville, Pennsylvania |
| Authorized Official Name and Position | Melanie Eileen Jordan (PRESIDENT) |
| Authorized Official Contact | 8142360539 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melanie E. Jordan, Dds, Pc 816 State St Floor One Curwensville PA 16833-1039 Ph: (814) 236-0539 | Melanie E. Jordan, Dds, Pc 816 State St Floor One Curwensville PA 16833-1039 Ph: (814) 236-0539 |
| NPI Number | 1700050093 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 04/17/2008 |
| Medicare PECOS PAC ID | 3173847282 |
|---|---|
| Medicare Enrollment ID | O20150121000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700050093 | NPI | - | NPPES |
| 0015294680001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS029353L (Pennsylvania) | Primary |
| 1223G0001X | Dentist - General Practice | DS031357L (Pennsylvania) | Secondary |
| Provider Name | Melanie E Jordan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1275525602 PECOS PAC ID: 1052635174 Enrollment ID: I20150121000425 |
| Provider Name | Cynthia A Miller |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1801886387 PECOS PAC ID: 9335463454 Enrollment ID: I20150121000718 |
Susquehanna Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 490 Susquehanna Ave, Curwensville, PA 16833 Phone: 814-236-3666 Fax: 814-236-3666 |