Lajuan M Mountain, DMD | |
415 E Boundary Ave, Suite 101, York, PA 17403-2811 | |
(717) 846-5174 | |
(717) 845-4884 |
Full Name | Lajuan M Mountain |
---|---|
Gender | Female |
Speciality | Dentist - General Practice |
Location | 415 E Boundary Ave, York, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235177247 | NPI | - | NPPES |
248134 | Other | PA | DENTAL BENEFIT PROVIDERS |
101296402 | Medicaid | PA | |
1734162 | Other | PA | UNITED CONCORDIA |
DS036195 | Other | PA | DELTA DENTAL |
169245 | Other | PA | UNISON |
9179591 | Other | PA | DORAL DENTAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS036195 (Pennsylvania) | Primary |
Entity Name | Family First Health Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881639904 PECOS PAC ID: 8022910207 Enrollment ID: O20040127000506 |
Mailing Address | Practice Location Address |
---|---|
Lajuan M Mountain, DMD 116 S George St, Suite 301, York, PA 17401-1408 Ph: (717) 846-8546 | Lajuan M Mountain, DMD 415 E Boundary Ave, Suite 101, York, PA 17403-2811 Ph: (717) 846-5174 |
Dr. Stephen C Thomas, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3015 Eastern Blvd, York, PA 17402 Phone: 717-755-5525 Fax: 717-755-3319 | |
Dr. John M Bush, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2200 S George St, S2, York, PA 17403 Phone: 717-741-4244 Fax: 717-747-0308 | |
Dr. Eric Mathias Johnsen Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1001 S George St, York, PA 17403 Phone: 717-851-2066 Fax: 717-851-3565 | |
Brian Edward Bowser, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 2161 E Market St, York, PA 17402 Phone: 717-757-3474 | |
Dr. Elliot Ira Kahn, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 869 Clare Ln, York, PA 17402 Phone: 717-755-2905 | |
Dr. David Dean Shannon, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2835 Eastern Blvd, York, PA 17402 Phone: 717-757-4611 Fax: 717-600-1900 | |
Dr. Donald Richard Dietrich, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2 Waterford Professional Ctr, York, PA 17402 Phone: 717-755-0114 Fax: 717-840-9524 |