| Dentrust New Mexico, P.c. | |
|
6097 Easton Rd Pipersville PA 18947-1810 | |
| (267) 927-5000 | |
| Not Available |
| Full Name | Dentrust New Mexico, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 6097 Easton Rd, Pipersville, Pennsylvania |
| Authorized Official Name and Position | Lawrence B Caplin (CEO) |
| Authorized Official Contact | 2679275000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentrust New Mexico, P.c. 6097 Easton Rd Pipersville PA 18947-1810 Ph: (267) 927-5000 | Dentrust New Mexico, P.c. 6097 Easton Rd Pipersville PA 18947-1810 Ph: (267) 927-5000 |
| NPI Number | 1295197531 |
|---|---|
| Provider Enumeration Date | 03/25/2016 |
| Last Update Date | 03/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295197531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DD4220 (New Mexico) | Primary |
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