| Campbell-pine,pc | |
|
205 E Beaver Ave State College PA 16801-4903 | |
| (814) 237-1751 | |
| (814) 237-6069 |
| Full Name | Campbell-pine,pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 205 E Beaver Ave, State College, Pennsylvania |
| Authorized Official Name and Position | Christopher Pine (ORTHODONTIST) |
| Authorized Official Contact | 8142371751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Campbell-pine,pc 205 E Beaver Ave State College PA 16801-4903 Ph: (814) 237-1751 | Campbell-pine,pc 205 E Beaver Ave State College PA 16801-4903 Ph: (814) 237-1751 |
| NPI Number | 1003997370 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003997370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Pennsylvania) | Primary |
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