| Sto-rox Family Dental Center | |
|
710 Thompson Avenue Mckees Rocks PA 15136-3808 | |
| (412) 771-6462 | |
| (412) 771-5887 |
| Full Name | Sto-rox Family Dental Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 710 Thompson Avenue, Mckees Rocks, Pennsylvania |
| Authorized Official Name and Position | Gail Lager (CFO) |
| Authorized Official Contact | 4127716462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sto-rox Family Dental Center 710 Thompson Avenue Mckees Rocks PA 15136-3808 Ph: (412) 771-6462 | Sto-rox Family Dental Center 710 Thompson Avenue Mckees Rocks PA 15136-3808 Ph: (412) 771-6462 |
| NPI Number | 1750504395 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 07/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750504395 | NPI | - | NPPES |
| 0005200920002 | Medicaid | PA | |
| 0012090200003 | Medicaid | PA | |
| 1102090200002 | Medicaid | PA | |
| 0008953110001 | Medicaid | PA | |
| 0009781380002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |