| Brookville Dental Pc | |
|
123 Main St Brookville PA 15825-1212 | |
| (814) 849-2652 | |
| Not Available |
| Full Name | Brookville Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 123 Main St, Brookville, Pennsylvania |
| Authorized Official Name and Position | William J Weaver (PRESIDENT) |
| Authorized Official Contact | 8148492652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookville Dental Pc 123 Main St Brookville PA 15825-1212 Ph: (814) 849-2652 | Brookville Dental Pc 123 Main St Brookville PA 15825-1212 Ph: (814) 849-2652 |
| NPI Number | 1891719480 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891719480 | NPI | - | NPPES |
| 0018235500001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS024744L (Pennsylvania) | Primary |
Achille Family Dental,inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 389 Main St, Brookville, PA 15825 Phone: 814-849-3300 Fax: 814-849-3309 |