| Moshannon Valley Family Dentistry | |
|
439 Spring St Houtzdale PA 16651-1702 | |
| (814) 378-7479 | |
| (814) 378-7439 |
| Full Name | Moshannon Valley Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 439 Spring St, Houtzdale, Pennsylvania |
| Authorized Official Name and Position | Amy L Britton (RECEPTIONIST) |
| Authorized Official Contact | 8143787479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moshannon Valley Family Dentistry 439 Spring St Houtzdale PA 16651-1702 Ph: (814) 378-7479 | Moshannon Valley Family Dentistry 439 Spring St Houtzdale PA 16651-1702 Ph: (814) 378-7479 |
| NPI Number | 1720157084 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720157084 | NPI | - | NPPES |
| 927201 | Other | PA | UNITED CONCORDIA |
| 0015366400003 | Medicaid | PA | |
| 1015127030001 | Medicaid | PA | |
| 0018194120002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS029496L (Pennsylvania) | Primary |
| 1223G0001X | Dentist - General Practice | DS031452L (Pennsylvania) | Secondary |
Pierre Boumerhi Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 439 Spring St, Houtzdale, PA 16651 Phone: 814-378-7006 |