Pineo Family Dentistry Llc | |
606 Erie St Edinboro PA 16412-6002 | |
(814) 734-4451 | |
(814) 734-2863 |
Full Name | Pineo Family Dentistry Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 606 Erie St, Edinboro, Pennsylvania |
Authorized Official Name and Position | Ross Victor Pineo (OWNER) |
Authorized Official Contact | 8147344451 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pineo Family Dentistry Llc 606 Erie St Edinboro PA 16412-6002 Ph: (814) 734-4451 | Pineo Family Dentistry Llc 606 Erie St Edinboro PA 16412-6002 Ph: (814) 734-4451 |
NPI Number | 1457360018 |
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Provider Enumeration Date | 08/05/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457360018 | NPI | - | NPPES |
1384880 | Other | BCBS | |
1011637470001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS035169 (Pennsylvania) | Primary |
Lem It Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Erie St, Edinboro, PA 16412 Phone: 814-734-4444 | |
Lake Erie Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Waterford Street, Edinboro, PA 16412 Phone: 814-734-1814 Fax: 814-734-7163 |