| Northern Country Dental | |
|
30 E Tioga St Tunkhannock PA 18657-1506 | |
| (570) 836-7050 | |
| (570) 836-7930 |
| Full Name | Northern Country Dental |
|---|---|
| Speciality | Dentist |
| Location | 30 E Tioga St, Tunkhannock, Pennsylvania |
| Authorized Official Name and Position | Patrick Judge (PRESIDENT) |
| Authorized Official Contact | 5708367050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Country Dental 30 E Tioga St Tunkhannock PA 18657-1506 Ph: (570) 836-7050 | Northern Country Dental 30 E Tioga St Tunkhannock PA 18657-1506 Ph: (570) 836-7050 |
| NPI Number | 1457773681 |
|---|---|
| Provider Enumeration Date | 01/07/2014 |
| Last Update Date | 01/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457773681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS029789L (Pennsylvania) | Primary |
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