| Not For Profit | |
|
1 Progress Plaza Suite #6 Towanda PA 18848-1656 | |
| (570) 265-2069 | |
| (570) 265-8718 |
| Full Name | Not For Profit |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1 Progress Plaza, Towanda, Pennsylvania |
| Authorized Official Name and Position | Robin A Coyle (DENTAL HYGIENIST CLINICAL MANAGER) |
| Authorized Official Contact | 5702652069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Not For Profit 1 Progress Plaza Suite #6 Towanda PA 18848-1656 Ph: (570) 265-2069 | Not For Profit 1 Progress Plaza Suite #6 Towanda PA 18848-1656 Ph: (570) 265-2069 |
| NPI Number | 1356448864 |
|---|---|
| Provider Enumeration Date | 09/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356448864 | NPI | - | NPPES |
| 0016485020002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
North Penn Comprehensive Health Services Dental Clinic Medicare: Medicare Enrolled Practice Location: 346 York Ave, Towanda, PA 18848 Phone: 570-662-1945 Fax: 570-662-2390 | |
Bradford County Dental Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Elizabeth St, Suite # 6, Towanda, PA 18848 Phone: 570-265-2069 Fax: 570-265-8941 | |
Memorial Hospital Inc Of Towanda Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: One Hospital Drive, Towanda, PA 18848 Phone: 570-268-2207 Fax: 570-265-4797 |