Jon R Lundquist, DDS | |
226 N Market St, Ligonier, PA 15658-1231 | |
(724) 238-9553 | |
Not Available |
Full Name | Jon R Lundquist |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 226 N Market St, Ligonier, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518030048 | NPI | - | NPPES |
1018225820001 | Medicaid | PA | |
10037884990001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DS027796L (Pennsylvania) | Primary |
Entity Name | Titusville Area Hospital |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1316471212 PECOS PAC ID: 8022907575 Enrollment ID: O20171215001417 |
Mailing Address | Practice Location Address |
---|---|
Jon R Lundquist, DDS 226 N Market St, Ligonier, PA 15658-1231 Ph: (724) 238-9553 | Jon R Lundquist, DDS 226 N Market St, Ligonier, PA 15658-1231 Ph: (724) 238-9553 |
Dr. Eric Albert Graham, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 336 E Main St, Ligonier, PA 15658 Phone: 724-238-6624 Fax: 724-238-6624 | |
Jordan Reed Lundquist, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 226 N Market St, Ligonier, PA 15658 Phone: 724-238-9553 Fax: 724-238-9554 | |
Geoffrey Kurtis Mattern, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 110 S Fairfield St, Ligonier, PA 15658 Phone: 724-238-6270 | |
Mr. Leonard M Kostley, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 201 South Fairfield Street, Ligonier, PA 15658 Phone: 724-238-3066 Fax: 724-238-2047 | |
Dr. Timothy E. Holloway, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2010 State Route 30, Ligonier, PA 15658 Phone: 724-238-6666 Fax: 724-238-6890 |