| Wyomissing Dental Associates | |
|
1286 Penn Ave Wyomissing PA 19610-2130 | |
| (610) 372-8406 | |
| (610) 372-3998 |
| Full Name | Wyomissing Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1286 Penn Ave, Wyomissing, Pennsylvania |
| Authorized Official Name and Position | Dale W. Grove (PRESIDENT) |
| Authorized Official Contact | 6103728406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyomissing Dental Associates 1286 Penn Ave Wyomissing PA 19610-2130 Ph: (610) 372-8406 | Wyomissing Dental Associates 1286 Penn Ave Wyomissing PA 19610-2130 Ph: (610) 372-8406 |
| NPI Number | 1104031756 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104031756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS017881L (Pennsylvania) | Primary |
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