| Healthy Smiles Of Corry | |
|
983 N Center St Corry PA 16407-1228 | |
| (814) 664-4011 | |
| (814) 664-9376 |
| Full Name | Healthy Smiles Of Corry |
|---|---|
| Speciality | Dentist |
| Location | 983 N Center St, Corry, Pennsylvania |
| Authorized Official Name and Position | Autumn M Brunst (BUSINESS COORDINATOR) |
| Authorized Official Contact | 8146644011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Smiles Of Corry 983 N Center St Corry PA 16407-1228 Ph: (814) 664-4011 | Healthy Smiles Of Corry 983 N Center St Corry PA 16407-1228 Ph: (814) 664-4011 |
| NPI Number | 1194902189 |
|---|---|
| Provider Enumeration Date | 01/22/2008 |
| Last Update Date | 12/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194902189 | NPI | - | NPPES |
| 1015262710001 | Other | PA | MEDICAL ASSISTANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DSO38747 (Pennsylvania) | Primary |
| 122300000X | Dentist | DSO19110L (Pennsylvania) | Secondary |
La Dental Inc Levi Evalt Dds Dental Excellence Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 N Center St, Corry, PA 16407 Phone: 814-664-2012 Fax: 814-964-4055 | |
Affordable Smiles Of Corry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 N Center St, Corry, PA 16407 Phone: 814-664-2012 Fax: 814-664-2017 | |
Affordable Smiles Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 N Center St, Corry, PA 16407 Phone: 814-664-2012 Fax: 814-664-2017 |