| Christian Santana D D S P C | |
|
21 E Broad St Ste C Hazleton PA 18201-6511 | |
| (570) 497-4081 | |
| (570) 497-4082 |
| Full Name | Christian Santana D D S P C |
|---|---|
| Speciality | Clinic/Center |
| Location | 21 E Broad St Ste C, Hazleton, Pennsylvania |
| Authorized Official Name and Position | Christian F Santana (DENTIST PRESIDENT) |
| Authorized Official Contact | 5704974081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Santana D D S P C 21 E Broad St Ste C Hazleton PA 18201-6511 Ph: (570) 497-4081 | Christian Santana D D S P C 21 E Broad St Ste C Hazleton PA 18201-6511 Ph: (570) 497-4081 |
| NPI Number | 1164723474 |
|---|---|
| Provider Enumeration Date | 11/03/2010 |
| Last Update Date | 10/30/2023 |
| Medicare PECOS PAC ID | 8426407909 |
|---|---|
| Medicare Enrollment ID | O20231208002052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164723474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Christian Santana |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1104037613 PECOS PAC ID: 7416339635 Enrollment ID: I20231208002165 |
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