| Dentistry For Children And Teens Inc. | |
|
265 3rd St Beaver PA 15009-2350 | |
| (724) 774-1920 | |
| (724) 774-3332 |
| Full Name | Dentistry For Children And Teens Inc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 265 3rd St, Beaver, Pennsylvania |
| Authorized Official Name and Position | Robert Alan Davis (DENTIST) |
| Authorized Official Contact | 7247741920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Children And Teens Inc. Po Box 537 Beaver PA 15009-0537 Ph: (724) 774-1920 | Dentistry For Children And Teens Inc. 265 3rd St Beaver PA 15009-2350 Ph: (724) 774-1920 |
| NPI Number | 1992700744 |
|---|---|
| Provider Enumeration Date | 06/17/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992700744 | NPI | - | NPPES |
| 0011869630001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Pennsylvania) | Primary |
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