| Fleetwood Dental Professional Corporation | |
|
805 N Richmond Street Suite 102 Fleetwood PA 19522 | |
| (610) 944-9771 | |
| (610) 944-0702 |
| Full Name | Fleetwood Dental Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 805 N Richmond Street, Fleetwood, Pennsylvania |
| Authorized Official Name and Position | Michelle M Lee (OWNER) |
| Authorized Official Contact | 6109449771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fleetwood Dental Professional Corporation 805 N Richmond Street Suite 102 Fleetwood PA 19522 Ph: (610) 944-9771 | Fleetwood Dental Professional Corporation 805 N Richmond Street Suite 102 Fleetwood PA 19522 Ph: (610) 944-9771 |
| NPI Number | 1104091388 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 12/02/2019 |
| Medicare PECOS PAC ID | 7719310770 |
|---|---|
| Medicare Enrollment ID | O20191204002459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104091388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS036286 (Pennsylvania) | Primary |
Ronald I. Reiter, Dmd, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Highland Dr, Fleetwood, PA 19522 Phone: 610-987-0668 Fax: 610-987-0668 | |
Fleetwood Family Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 438 Park Rd, Fleetwood, PA 19522 Phone: 610-944-0551 |