| Vincent G. Dauchess, D.d.s, P.c | |
|
401 W Market St Pottsville PA 17901-2930 | |
| (570) 622-2036 | |
| (570) 622-5242 |
| Full Name | Vincent G. Dauchess, D.d.s, P.c |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 401 W Market St, Pottsville, Pennsylvania |
| Authorized Official Name and Position | Vincent G. Dauchess (PROPRIETER) |
| Authorized Official Contact | 5706222036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent G. Dauchess, D.d.s, P.c 401 W Market St Pottsville PA 17901-2930 Ph: (570) 622-2036 | Vincent G. Dauchess, D.d.s, P.c 401 W Market St Pottsville PA 17901-2930 Ph: (570) 622-2036 |
| NPI Number | 1538239256 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 11/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538239256 | NPI | - | NPPES |
| 529243 | Other | PA | ATENA |
| 614756 | Other | PA | BLUE SHIELD MEDICAL |
| 0012807780002 | Medicaid | PA | |
| 02340400 | Other | PA | CAPITAL BLUE CROSS |
| A60922 | Other | PA | AMERIHEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS018834-L (Pennsylvania) | Primary |
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