Christian T Jeffries, DMD | |
6 Grove St, Greenville, PA 16125-1513 | |
(724) 456-6773 | |
Not Available |
Full Name | Christian T Jeffries |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 6 Grove St, Greenville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700863693 | NPI | - | NPPES |
234403 | Medicaid | OH | |
0018152710006 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DS025362L (Pennsylvania) | Primary |
Entity Name | Primary Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417932609 PECOS PAC ID: 9234046228 Enrollment ID: O20031124000553 |
Mailing Address | Practice Location Address |
---|---|
Christian T Jeffries, DMD 6 Grove St, Greenville, PA 16125-1513 Ph: (724) 456-6773 | Christian T Jeffries, DMD 6 Grove St, Greenville, PA 16125-1513 Ph: (724) 456-6773 |
Dr. Russell W Poe, DDS Dentist Medicare: Medicare Enrolled Practice Location: 83 Shenango St, Greenville, PA 16125 Phone: 724-588-3010 Fax: 724-588-3011 | |
Jaimie Mong, Dentist Medicare: Medicare Enrolled Practice Location: 206 Main St, Greenville, PA 16125 Phone: 724-588-8910 | |
Dr. Patrick Christopher Manganello, DMD Dentist Medicare: Medicare Enrolled Practice Location: 126 College Ave, Greenville, PA 16125 Phone: 724-301-3162 | |
Dr. Eric Thomas Mong, DDS Dentist Medicare: Medicare Enrolled Practice Location: 408 S Main St, Greenville, PA 16125 Phone: 724-588-8910 | |
Dr. Cathy J Owens, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 281 Main St, Greenville, PA 16125 Phone: 724-588-7851 | |
Dr. John Manganello, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 126 College Ave, Greenville, PA 16125 Phone: 724-588-3012 Fax: 724-588-0922 | |
Robert Michael Woods, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 282 Main Street, Greenville, PA 16125 Phone: 724-588-2750 |