| Whitehall Dental Assoc | |
|
450 Pershing Blvd Whitehall PA 18052-6452 | |
| (610) 434-6796 | |
| (610) 434-6671 |
| Full Name | Whitehall Dental Assoc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 450 Pershing Blvd, Whitehall, Pennsylvania |
| Authorized Official Name and Position | Nidal Yacoub (OWNER/DENTIST) |
| Authorized Official Contact | 6103609625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitehall Dental Assoc 450 Pershing Blvd Whitehall PA 18052-6452 Ph: (610) 434-6796 | Whitehall Dental Assoc 450 Pershing Blvd Whitehall PA 18052-6452 Ph: (610) 434-6796 |
| NPI Number | 1639168701 |
|---|---|
| Provider Enumeration Date | 10/20/2005 |
| Last Update Date | 03/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639168701 | NPI | - | NPPES |
| 1799436 | Medicaid | PA | |
| 0018794480004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS031269L (Pennsylvania) | Primary |
Rodney M. Dobrowolski, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 828 3rd St, Whitehall, PA 18052 Phone: 610-264-3556 | |
Dental Dreams, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2180 Macarthur Rd, Whitehall, PA 18052 Phone: 312-274-0308 | |
James K Shearer Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 636 Fifth St, Whitehall, PA 18052 Phone: 610-264-1701 | |
Michael Barber Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3251 7th St, Whitehall, PA 18052 Phone: 610-969-9491 | |
Macarthur Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1634 Macarthur Rd, Whitehall, PA 18052 Phone: 610-433-3361 Fax: 610-433-2120 | |
Michael E Kun Dmd Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 881 3rd St Ste A2, Whitehall, PA 18052 Phone: 610-266-9048 Fax: 610-266-0250 |