| Big Spring Dental Center, Llc | |
|
85 S High St Newville PA 17241-1405 | |
| (717) 776-1228 | |
| (717) 754-0755 |
| Full Name | Big Spring Dental Center, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 85 S High St, Newville, Pennsylvania |
| Authorized Official Name and Position | Jack Ellis Showley (MEMBER) |
| Authorized Official Contact | 7177761228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Spring Dental Center, Llc 85 S High St Newville PA 17241-1405 Ph: (717) 776-1228 | Big Spring Dental Center, Llc 85 S High St Newville PA 17241-1405 Ph: (717) 776-1228 |
| NPI Number | 1912103235 |
|---|---|
| Provider Enumeration Date | 06/24/2007 |
| Last Update Date | 11/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912103235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS035647 (Pennsylvania) | Primary |