| Blue Ridge Dental Care Llc | |
|
14989 Buchanan Trl E Blue Ridge Summit PA 17214-9775 | |
| (717) 794-5994 | |
| Not Available |
| Full Name | Blue Ridge Dental Care Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14989 Buchanan Trl E, Blue Ridge Summit, Pennsylvania |
| Authorized Official Name and Position | Teresa Rea (BOOKKEEPER) |
| Authorized Official Contact | 7177945994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Dental Care Llc Po Box 621 Blue Ridge Summit PA 17214-0621 Ph: (717) 794-5994 | Blue Ridge Dental Care Llc 14989 Buchanan Trl E Blue Ridge Summit PA 17214-9775 Ph: (717) 794-5994 |
| NPI Number | 1922599349 |
|---|---|
| Provider Enumeration Date | 05/21/2018 |
| Last Update Date | 05/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922599349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Cornerstone Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14989 Buchanan Trail East, Blue Ridge Summit, PA 17214 Phone: 717-794-5994 Fax: 717-794-5458 |