| Northern Sky Dental | |
|
12814 State Route 30 North Huntingdon PA 15642-1352 | |
| (724) 863-5700 | |
| (724) 863-5701 |
| Full Name | Northern Sky Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12814 State Route 30, North Huntingdon, Pennsylvania |
| Authorized Official Name and Position | Douglas Ryan Lippert (OWNER/MANAGER) |
| Authorized Official Contact | 7248635700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Sky Dental 12814 State Route 30 North Huntingdon PA 15642-1352 Ph: (724) 863-5700 | Northern Sky Dental 12814 State Route 30 North Huntingdon PA 15642-1352 Ph: (724) 863-5700 |
| NPI Number | 1073819520 |
|---|---|
| Provider Enumeration Date | 02/01/2011 |
| Last Update Date | 04/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073819520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DSO35701 (Pennsylvania) | Primary |
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