| Charles T Brand Dmd Richard G Coslett Dmd Pc | |
|
121 S Memorial Hwy Shavertown PA 18708 | |
| (570) 696-3868 | |
| (570) 696-3541 |
| Full Name | Charles T Brand Dmd Richard G Coslett Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 121 S Memorial Hwy, Shavertown, Pennsylvania |
| Authorized Official Name and Position | Charles T Brand (DENTIST) |
| Authorized Official Contact | 5706963869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles T Brand Dmd Richard G Coslett Dmd Pc 121 S Memorial Hwy Shavertown PA 18708 Ph: (570) 696-3868 | Charles T Brand Dmd Richard G Coslett Dmd Pc 121 S Memorial Hwy Shavertown PA 18708 Ph: (570) 696-3868 |
| NPI Number | 1811075104 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811075104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |