| Streamside Dental | |
|
109 E Main St Everett PA 15537-1259 | |
| (814) 934-7161 | |
| Not Available |
| Full Name | Streamside Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 109 E Main St, Everett, Pennsylvania |
| Authorized Official Name and Position | Douglas Christopher Kurtz (OWNER) |
| Authorized Official Contact | 8149347161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Streamside Dental 109 E Main St Everett PA 15537-1259 Ph: (814) 934-7161 | Streamside Dental 109 E Main St Everett PA 15537-1259 Ph: (814) 934-7161 |
| NPI Number | 1205280310 |
|---|---|
| Provider Enumeration Date | 04/15/2016 |
| Last Update Date | 05/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205280310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |