| Centerville Clinics Ins Dental | |
|
1070 Old National Pike Fredericktown PA 15333-2114 | |
| (724) 632-1680 | |
| Not Available |
| Full Name | Centerville Clinics Ins Dental |
|---|---|
| Speciality | Dentist |
| Location | 1070 Old National Pike, Fredericktown, Pennsylvania |
| Authorized Official Name and Position | Patricia Martos (DIRECTOR FINANCE/PERSONNEL) |
| Authorized Official Contact | 7246326801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerville Clinics Ins Dental 1070 Old National Pike Fredericktown PA 15333-2114 Ph: (724) 632-1680 | Centerville Clinics Ins Dental 1070 Old National Pike Fredericktown PA 15333-2114 Ph: (724) 632-1680 |
| NPI Number | 1194757559 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194757559 | NPI | - | NPPES |
| 1007288440027 | Medicaid | PA | |
| 164629 | Other | PA | HIGHMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |