| Tioga Dental Services | |
|
34 E Lawrence Rd Lawrenceville PA 16929-8801 | |
| (570) 724-9145 | |
| (570) 724-5397 |
| Full Name | Tioga Dental Services |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 34 E Lawrence Rd, Lawrenceville, Pennsylvania |
| Authorized Official Name and Position | Alicia Anne Risner-bauman (DENTAL CLINIC DIRECTOR) |
| Authorized Official Contact | 5708270145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tioga Dental Services 34 E Lawrence Rd Lawrenceville PA 16929-8801 Ph: (570) 724-9145 | Tioga Dental Services 34 E Lawrence Rd Lawrenceville PA 16929-8801 Ph: (570) 724-9145 |
| NPI Number | 1255664819 |
|---|---|
| Provider Enumeration Date | 09/15/2009 |
| Last Update Date | 06/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255664819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |