| Dental Arts Pc | |
|
386 Northampton St Edwardsville PA 18704-5448 | |
| (570) 283-0554 | |
| (570) 283-0555 |
| Full Name | Dental Arts Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 386 Northampton St, Edwardsville, Pennsylvania |
| Authorized Official Name and Position | Kenneth Reichard (DENTIST) |
| Authorized Official Contact | 5702830554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Arts Pc 386 Northampton St Edwardsville PA 18704-5448 Ph: (570) 283-0554 | Dental Arts Pc 386 Northampton St Edwardsville PA 18704-5448 Ph: (570) 283-0554 |
| NPI Number | 1316227283 |
|---|---|
| Provider Enumeration Date | 08/24/2011 |
| Last Update Date | 08/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316227283 | NPI | - | NPPES |
| 0005285460001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DAO19968L (Pennsylvania) | Primary |
Hi-tech Dental Arts Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 386 Northampton St, Edwardsville, PA 18704 Phone: 148-441-0420 |