| Charles G.shea,dmd,pc | |
|
225 Vine St Johnstown PA 15901-1518 | |
| (814) 535-7888 | |
| (814) 539-8858 |
| Full Name | Charles G.shea,dmd,pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 225 Vine St, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Jacqueline M. Shea (PRACTICE MANAGER) |
| Authorized Official Contact | 8145357888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles G.shea,dmd,pc 225 Vine St Johnstown PA 15901-1518 Ph: (814) 535-7888 | Charles G.shea,dmd,pc 225 Vine St Johnstown PA 15901-1518 Ph: (814) 535-7888 |
| NPI Number | 1356782700 |
|---|---|
| Provider Enumeration Date | 07/15/2013 |
| Last Update Date | 07/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356782700 | NPI | - | NPPES |
| 0015391880001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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