| Hometown Dental | |
|
236 Pennsylvania Ave Mill Hall PA 17751-1829 | |
| (570) 726-4988 | |
| Not Available |
| Full Name | Hometown Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 236 Pennsylvania Ave, Mill Hall, Pennsylvania |
| Authorized Official Name and Position | Terry W Hendricks (PRESIDENT) |
| Authorized Official Contact | 5707264988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Dental 236 Pennsylvania Ave Mill Hall PA 17751-1829 Ph: (570) 726-4988 | Hometown Dental 236 Pennsylvania Ave Mill Hall PA 17751-1829 Ph: (570) 726-4988 |
| NPI Number | 1821216524 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 08/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821216524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS016434L (Pennsylvania) | Primary |
C & K Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 236 Pennsylvania Ave, Mill Hall, PA 17751 Phone: 570-726-4988 Fax: 570-726-4971 |