| Chestnuthill Dental Group, P.c. | |
|
Midtown Plaza, Rt 209 Brodheadsville PA 18322-1089 | |
| (570) 402-4001 | |
| (570) 402-4002 |
| Full Name | Chestnuthill Dental Group, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | Midtown Plaza, Rt 209, Brodheadsville, Pennsylvania |
| Authorized Official Name and Position | James P. Newman (CEO) |
| Authorized Official Contact | 5704024001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chestnuthill Dental Group, P.c. Po Box 1089 Midtown Plaza, Rt 209 Brodheadsville PA 18322-1089 Ph: (570) 402-4001 | Chestnuthill Dental Group, P.c. Midtown Plaza, Rt 209 Brodheadsville PA 18322-1089 Ph: (570) 402-4001 |
| NPI Number | 1801958327 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801958327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS- 029560-L (Pennsylvania) | Primary |