| Pelly Dental Inc Pc | |
|
20 E Broad St West Hazleton PA 18202 | |
| (570) 455-8800 | |
| Not Available |
| Full Name | Pelly Dental Inc Pc |
|---|---|
| Speciality | Dentist |
| Location | 20 E Broad St, West Hazleton, Pennsylvania |
| Authorized Official Name and Position | Joseph S Pelly (DENTIST) |
| Authorized Official Contact | 5704558800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelly Dental Inc Pc 20 E Broad St West Hazleton PA 18202 Ph: (570) 455-8800 | Pelly Dental Inc Pc 20 E Broad St West Hazleton PA 18202 Ph: (570) 455-8800 |
| NPI Number | 1376554790 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376554790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS017449L (Pennsylvania) | Primary |
Kenneth C Boyle Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 East Broad Street, West Hazleton, PA 18202 Phone: 570-459-2263 Fax: 570-459-5922 |