| Stager & Coole Dental | |
|
17 North Main Street Mansfield PA 16933 | |
| (570) 662-2886 | |
| (570) 513-0585 |
| Full Name | Stager & Coole Dental |
|---|---|
| Speciality | Dentist |
| Location | 17 North Main Street, Mansfield, Pennsylvania |
| Authorized Official Name and Position | Roger Mark Stager (DENTIST PARTNER) |
| Authorized Official Contact | 5706622886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stager & Coole Dental 17 North Main Street Mansfield PA 16933 Ph: (570) 662-2886 | Stager & Coole Dental 17 North Main Street Mansfield PA 16933 Ph: (570) 662-2886 |
| NPI Number | 1598822074 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598822074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS020654L (Pennsylvania) | Primary |
| 122300000X | Dentist | DS030574L (Pennsylvania) | Secondary |