| Covenant Family Dental Llc | |
|
50 Eastern Ave Ste 108 Greencastle PA 17225-1100 | |
| (717) 762-1515 | |
| Not Available |
| Full Name | Covenant Family Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 50 Eastern Ave Ste 108, Greencastle, Pennsylvania |
| Authorized Official Name and Position | Anvarali Mohammadh (OWNER) |
| Authorized Official Contact | 7177621515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Family Dental Llc 750 S Potomac St Waynesboro PA 17268-2198 Ph: (717) 762-1515 | Covenant Family Dental Llc 50 Eastern Ave Ste 108 Greencastle PA 17225-1100 Ph: (717) 762-1515 |
| NPI Number | 1619643202 |
|---|---|
| Provider Enumeration Date | 08/23/2021 |
| Last Update Date | 09/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619643202 | NPI | - | NPPES |
| 1038734820001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Antrim Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 196 S Washington St, Greencastle, PA 17225 Phone: 717-597-7424 |