| State College Family Dentistry | |
|
220 Regent Ct Ste D State College PA 16801-7969 | |
| (814) 238-6734 | |
| Not Available |
| Full Name | State College Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 220 Regent Ct Ste D, State College, Pennsylvania |
| Authorized Official Name and Position | Kellie E Kline (OFFICE MANAGER) |
| Authorized Official Contact | 8142386734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State College Family Dentistry 220 Regent Ct Ste D State College PA 16801-7969 Ph: (814) 238-6734 | State College Family Dentistry 220 Regent Ct Ste D State College PA 16801-7969 Ph: (814) 238-6734 |
| NPI Number | 1497562680 |
|---|---|
| Provider Enumeration Date | 12/12/2024 |
| Last Update Date | 12/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497562680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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