Pottsville Orthodontics, Pc (fictitious Name) | |
103 E Main St Schuylkill Haven PA 17972-1240 | |
(570) 385-1344 | |
Not Available |
Full Name | Pottsville Orthodontics, Pc (fictitious Name) |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 103 E Main St, Schuylkill Haven, Pennsylvania |
Authorized Official Name and Position | Jason Michael Hartman (PRESIDENT/ORTHODONTIST) |
Authorized Official Contact | 5703851344 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pottsville Orthodontics, Pc (fictitious Name) 103 E Main St Schuylkill Haven PA 17972-1240 Ph: (570) 385-1344 | Pottsville Orthodontics, Pc (fictitious Name) 103 E Main St Schuylkill Haven PA 17972-1240 Ph: (570) 385-1344 |
NPI Number | 1760737662 |
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Provider Enumeration Date | 07/17/2012 |
Last Update Date | 07/30/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760737662 | NPI | - | NPPES |
1023923970001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DS038055 (Pennsylvania) | Primary |
Francis G. A. Solga,dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 E Main St, Schuylkill Haven, PA 17972 Phone: 570-385-1344 Fax: 570-385-1312 |