| The Salvation Army - Dental Center Of Johnstown | |
|
647 Main Street Po Box 968 Johnstown PA 15907-0968 | |
| (814) 539-3110 | |
| (814) 536-4785 |
| Full Name | The Salvation Army - Dental Center Of Johnstown |
|---|---|
| Speciality | Dentist |
| Location | 647 Main Street, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Michael John Southwick (SECRETARY) |
| Authorized Official Contact | 8456207329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Salvation Army - Dental Center Of Johnstown 440 W Nyack Rd West Nyack NY 10994-1753 Ph: (845) 620-7200 | The Salvation Army - Dental Center Of Johnstown 647 Main Street Po Box 968 Johnstown PA 15907-0968 Ph: (814) 539-3110 |
| NPI Number | 1659706166 |
|---|---|
| Provider Enumeration Date | 09/04/2013 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659706166 | NPI | - | NPPES |
| 0011051320005 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS025867L (Pennsylvania) | Primary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Secondary |
Kristina M. Wolf, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hostetler Rd, Johnstown, PA 15904 Phone: 814-266-9773 | |
J. Jerome Petro Dmd Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 Menoher Blvd, Johnstown, PA 15905 Phone: 814-536-8793 | |
Jack R. Lazer, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Mccort Place, Johnstown, PA 15904 Phone: 814-269-4404 Fax: 814-266-8668 | |
Aspen Dental Of Sw Pennsylvania, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Town Centre Dr, Johnstown, PA 15904 Phone: 814-266-5141 Fax: 814-266-5919 | |
Dr Kathy Percosky's Gentle Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Strayer St, Johnstown, PA 15906 Phone: 814-535-6458 | |
Hilltop Dental Associates, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1736 Lyter Dr, Johnstown, PA 15905 Phone: 814-255-6831 Fax: 814-254-1521 | |
New Dimensions Dentistry And Orthodontics, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1253 Scalp Ave, Suite 105, Johnstown, PA 15904 Phone: 814-269-9731 Fax: 814-266-5881 |