Susquehanna Family Dental, Llc | |
490 Susquehanna Ave Curwensville PA 16833-1448 | |
(814) 236-3666 | |
(814) 236-3666 |
Full Name | Susquehanna Family Dental, Llc |
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Speciality | Dentist |
Location | 490 Susquehanna Ave, Curwensville, Pennsylvania |
Authorized Official Name and Position | Matthew R Mckissick (OWNER) |
Authorized Official Contact | 8142363666 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Susquehanna Family Dental, Llc 490 Susquehanna Ave Curwensville PA 16833-1448 Ph: (814) 236-3666 | Susquehanna Family Dental, Llc 490 Susquehanna Ave Curwensville PA 16833-1448 Ph: (814) 236-3666 |
NPI Number | 1598005639 |
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Provider Enumeration Date | 02/27/2013 |
Last Update Date | 02/27/2013 |
Identifier | Type | State | Issuer |
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1598005639 | NPI | - | NPPES |
101958885006 | Medicaid | PA | |
1982238 | Other | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Melanie E. Jordan, Dds, Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 816 State St, Floor One, Curwensville, PA 16833 Phone: 814-236-0539 Fax: 814-236-0443 |