| Schoolhouse Orthodontics Ltd | |
|
611 Nazareth Pike Nazareth PA 18064-9002 | |
| (484) 293-0744 | |
| Not Available |
| Full Name | Schoolhouse Orthodontics Ltd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 611 Nazareth Pike, Nazareth, Pennsylvania |
| Authorized Official Name and Position | Tasha W Bolden (PRESIDENT) |
| Authorized Official Contact | 4842930744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Schoolhouse Orthodontics Ltd 611 Nazareth Pike Nazareth PA 18064-9002 Ph: (484) 293-0744 | Schoolhouse Orthodontics Ltd 611 Nazareth Pike Nazareth PA 18064-9002 Ph: (484) 293-0744 |
| NPI Number | 1720630627 |
|---|---|
| Provider Enumeration Date | 07/10/2019 |
| Last Update Date | 07/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720630627 | NPI | - | NPPES |
| 1034058100001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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