| Lewistown Dental Center | |
|
31 S Dorcas St Lewistown PA 17044-2110 | |
| (717) 447-1898 | |
| (717) 447-1891 |
| Full Name | Lewistown Dental Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 31 S Dorcas St, Lewistown, Pennsylvania |
| Authorized Official Name and Position | Carl A Sizer (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7243420126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewistown Dental Center 63 Pitt St Sharon PA 16146-2102 Ph: (724) 342-3002 | Lewistown Dental Center 31 S Dorcas St Lewistown PA 17044-2110 Ph: (717) 447-1898 |
| NPI Number | 1962880989 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962880989 | NPI | - | NPPES |
| 100757846 0116 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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