| Complete Dental Care Of Whitaker | |
|
107 Whitaker St Homestead PA 15120-2411 | |
| (412) 462-7710 | |
| (412) 462-7710 |
| Full Name | Complete Dental Care Of Whitaker |
|---|---|
| Speciality | Dentist |
| Location | 107 Whitaker St, Homestead, Pennsylvania |
| Authorized Official Name and Position | Robert A Doyle (OWNER/DENTIST) |
| Authorized Official Contact | 4124627710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Dental Care Of Whitaker 107 Whitaker St Homestead PA 15120-2411 Ph: (412) 462-7710 | Complete Dental Care Of Whitaker 107 Whitaker St Homestead PA 15120-2411 Ph: (412) 462-7710 |
| NPI Number | 1104298728 |
|---|---|
| Provider Enumeration Date | 10/22/2015 |
| Last Update Date | 10/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104298728 | NPI | - | NPPES |
| 102026760 | Medicaid | PA | |
| 10303064 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS037954 (Pennsylvania) | Secondary |
| 122300000X | Dentist | DS035693 (Pennsylvania) | Primary |
Professional Dental Alliance Of Homestead Whitaker, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Whitaker St, Homestead, PA 15120 Phone: 412-462-7710 | |
Edward A Mucha Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 E 8th Ave, Homestead, PA 15120 Phone: 412-461-1360 Fax: 412-461-1360 |