| Benjamin L. Carrico Dmd Inc.pc | |
|
95 Main St Strattanville PA 16258-1903 | |
| (814) 980-4021 | |
| (814) 764-6173 |
| Full Name | Benjamin L. Carrico Dmd Inc.pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 95 Main St, Strattanville, Pennsylvania |
| Authorized Official Name and Position | Deborah Ann Kunselman (OFFICE MANAGER) |
| Authorized Official Contact | 8149804021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin L. Carrico Dmd Inc.pc 95 Main St Strattanville PA 16258-1903 Ph: (814) 980-4021 | Benjamin L. Carrico Dmd Inc.pc 95 Main St Strattanville PA 16258-1903 Ph: (814) 980-4021 |
| NPI Number | 1477089019 |
|---|---|
| Provider Enumeration Date | 05/02/2017 |
| Last Update Date | 05/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477089019 | NPI | - | NPPES |
| 1720106768 | Other | PA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS036553 (Pennsylvania) | Primary |