| Cherry Valley Smiles, Inc. | |
|
101 N Mcdonald St Mc Donald PA 15057-1200 | |
| (724) 926-1400 | |
| Not Available |
| Full Name | Cherry Valley Smiles, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 101 N Mcdonald St, Mc Donald, Pennsylvania |
| Authorized Official Name and Position | Sarah W Ogburn (PRESIDENT) |
| Authorized Official Contact | 7249861974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherry Valley Smiles, Inc. Po Box 227 Hickory PA 15340-0227 Ph: (724) 986-1974 | Cherry Valley Smiles, Inc. 101 N Mcdonald St Mc Donald PA 15057-1200 Ph: (724) 926-1400 |
| NPI Number | 1811540693 |
|---|---|
| Provider Enumeration Date | 07/19/2019 |
| Last Update Date | 07/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811540693 | NPI | - | NPPES |
| 1031268130002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |