| Dr Charles Gordon Shea, DMD | |
|
225 Vine St, Johnstown, PA 15901-1518 | |
| (814) 535-7888 | |
| (814) 539-8858 |
| Full Name | Dr Charles Gordon Shea |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 225 Vine St, Johnstown, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548697170 | NPI | - | NPPES |
| 0015391880001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS018700L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Gordon Shea, DMD 225 Vine St, Johnstown, PA 15901-1518 Ph: (814) 535-7888 | Dr Charles Gordon Shea, DMD 225 Vine St, Johnstown, PA 15901-1518 Ph: (814) 535-7888 |
Dr. Gerald Lewis Fisher, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2690 William Penn Ave, Suite 3, Johnstown, PA 15909 Phone: 814-322-3239 Fax: 814-322-3459 | |
Brian S Huber, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 274 Southmont Blvd, Johnstown, PA 15905 Phone: 814-536-8640 | |
Dr. James Edward Ference, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 213 Luther Rd, Johnstown, PA 15904 Phone: 814-266-9656 Fax: 814-266-3292 | |
Dr. Brady Nicholas Wright, DO Dentist Medicare: Not Enrolled in Medicare Practice Location: 1390 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-535-5244 | |
Dr. Jeffrey Paul Hooper, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 100 Hostetler Rd, Johnstown, PA 15904 Phone: 814-266-9773 Fax: 814-266-9169 | |
Dr. Timothy Louis Ondrejik, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 205 Luther Rd, Johnstown, PA 15904 Phone: 814-266-4252 Fax: 814-266-2882 | |
John David Ridella, DMD Dentist Medicare: Medicare Enrolled Practice Location: 901 Menoher Blvd, Johnstown, PA 15905 Phone: 814-536-5646 Fax: 814-536-1774 |