| Periodontal Associates, Inc. | |
|
3825 Linglestown Rd Harrisburg PA 17110-3631 | |
| (717) 652-3887 | |
| (717) 652-9509 |
| Full Name | Periodontal Associates, Inc. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3825 Linglestown Rd, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Steven B Fisher (PRESIDENT) |
| Authorized Official Contact | 7176523887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontal Associates, Inc. 3825 Linglestown Rd Harrisburg PA 17110-3631 Ph: (717) 652-3887 | Periodontal Associates, Inc. 3825 Linglestown Rd Harrisburg PA 17110-3631 Ph: (717) 652-3887 |
| NPI Number | 1568517605 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 12/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568517605 | NPI | - | NPPES |
| 535995 | Other | PA | PROVIDER ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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