| Electric City Dental Group | |
|
117 Main St Forest City PA 18421-1440 | |
| (570) 785-3000 | |
| (570) 785-3175 |
| Full Name | Electric City Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 117 Main St, Forest City, Pennsylvania |
| Authorized Official Name and Position | Richard A Hartland (PRESIDENT) |
| Authorized Official Contact | 5703830784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Electric City Dental Group 305 School Side Dr Throop PA 18512-1456 Ph: (570) 383-0784 | Electric City Dental Group 117 Main St Forest City PA 18421-1440 Ph: (570) 785-3000 |
| NPI Number | 1093048217 |
|---|---|
| Provider Enumeration Date | 09/08/2009 |
| Last Update Date | 09/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093048217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS035200 (Pennsylvania) | Primary |
Genco Dental Care, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 518 Main St, Forest City, PA 18421 Phone: 570-785-9500 |