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1075 Harrison City Export Road Suite 3 Jeannette PA 15644 | |
| (724) 744-2099 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1075 Harrison City Export Road, Jeannette, Pennsylvania |
| Authorized Official Name and Position | Marion V Sullebarger (OFFICE MANAGER) |
| Authorized Official Contact | 7247442099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1075 Harrison City Export Road Suite 3 Jeannette PA 15644 Ph: (724) 744-2099 | 1075 Harrison City Export Road Suite 3 Jeannette PA 15644 Ph: (724) 744-2099 |
| NPI Number | 1558572396 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 11/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558572396 | NPI | - | NPPES |
| 575692 | Other | PA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS026919L (Pennsylvania) | Primary |
Pearl Dentistry Of Penn Tafford, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1075 Harrison City Export Rd Ste 3, Jeannette, PA 15644 Phone: 724-744-2099 | |
Jeannette Dental Center Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Harrison Ave, Jeannette, PA 15644 Phone: 724-523-5551 Fax: 724-523-4738 | |
Joshua Waskowitz Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 Bigelow St, Jeannette, PA 15644 Phone: 724-527-6544 |