| Robert A Petcash Dmd Pc | |
|
2879 W Hardies Rd Gibsonia PA 15044-8203 | |
| (724) 444-7770 | |
| (724) 444-7676 |
| Full Name | Robert A Petcash Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 2879 W Hardies Rd, Gibsonia, Pennsylvania |
| Authorized Official Name and Position | Robert A Petcash (CEO) |
| Authorized Official Contact | 7244447770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert A Petcash Dmd Pc 2879 W Hardies Rd Gibsonia PA 15044-8203 Ph: (724) 444-7770 | Robert A Petcash Dmd Pc 2879 W Hardies Rd Gibsonia PA 15044-8203 Ph: (724) 444-7770 |
| NPI Number | 1295097442 |
|---|---|
| Provider Enumeration Date | 06/13/2012 |
| Last Update Date | 01/08/2013 |
| Medicare PECOS PAC ID | 8921251612 |
|---|---|
| Medicare Enrollment ID | O20130107000143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295097442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 027733 (Pennsylvania) | Primary |
| Provider Name | Robert A Petcash |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1699739300 PECOS PAC ID: 8921251638 Enrollment ID: I20130109000337 |
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