| Pennsylvania Dental Specialty Group, Pc | |
|
101 N Pointe Blvd Suite 202 Lancaster PA 17601-4108 | |
| (717) 590-1513 | |
| (484) 731-9015 |
| Full Name | Pennsylvania Dental Specialty Group, Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 101 N Pointe Blvd, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Jessie Winkler (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 7175901513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennsylvania Dental Specialty Group, Pc 101 N Pointe Blvd Suite 202 Lancaster PA 17601-4108 Ph: (717) 590-1513 | Pennsylvania Dental Specialty Group, Pc 101 N Pointe Blvd Suite 202 Lancaster PA 17601-4108 Ph: (717) 590-1513 |
| NPI Number | 1487034005 |
|---|---|
| Provider Enumeration Date | 06/09/2015 |
| Last Update Date | 06/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487034005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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