| Chicora Dental Care, Llc | |
|
2016 Chicora Rd Chicora PA 16025-3018 | |
| (724) 445-2558 | |
| (724) 445-3705 |
| Full Name | Chicora Dental Care, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2016 Chicora Rd, Chicora, Pennsylvania |
| Authorized Official Name and Position | Domenick Defrancisis (MEMBER) |
| Authorized Official Contact | 7244452558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicora Dental Care, Llc 2016 Chicora Rd P.o. Box 375 Chicora PA 16025-3018 Ph: (724) 445-2558 | Chicora Dental Care, Llc 2016 Chicora Rd Chicora PA 16025-3018 Ph: (724) 445-2558 |
| NPI Number | 1255597845 |
|---|---|
| Provider Enumeration Date | 08/03/2008 |
| Last Update Date | 08/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255597845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS023082L (Pennsylvania) | Primary |
Ats Imaging Center, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2016 Chicora Road, Suite #2, Chicora, PA 16025 Phone: 724-445-5120 |