| Western Pennsylvania Dental Group | |
|
234 S Main St Homer City PA 15748-1560 | |
| (724) 479-8071 | |
| (724) 479-4271 |
| Full Name | Western Pennsylvania Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 234 S Main St, Homer City, Pennsylvania |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Pennsylvania Dental Group 234 S Main St Homer City PA 15748-1560 Ph: (724) 479-8071 | Western Pennsylvania Dental Group 234 S Main St Homer City PA 15748-1560 Ph: (724) 479-8071 |
| NPI Number | 1275694283 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 04/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275694283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS022773-L (Pennsylvania) | Primary |