| Day Dental Anesthesia | |
|
2636 Killen School Road Nicktown PA 15762 | |
| (814) 244-7241 | |
| Not Available |
| Full Name | Day Dental Anesthesia |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 2636 Killen School Road, Nicktown, Pennsylvania |
| Authorized Official Name and Position | Breanna M Day (DENTIST ANESTHESIOLOGIST) |
| Authorized Official Contact | 8142447241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Day Dental Anesthesia Po Box 181 Nicktown PA 15762-0181 Ph: (814) 244-7241 | Day Dental Anesthesia 2636 Killen School Road Nicktown PA 15762 Ph: (814) 244-7241 |
| NPI Number | 1174188486 |
|---|---|
| Provider Enumeration Date | 05/02/2019 |
| Last Update Date | 05/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174188486 | NPI | - | NPPES |
| 1031028020001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | (* (Not Available)) | Primary |