| Jack D. Steele, D.m.d., Family Dentistry, L.l.c. | |
|
501 E Poplar St Mc Connellsburg PA 17233-1151 | |
| (717) 485-3015 | |
| (717) 485-3096 |
| Full Name | Jack D. Steele, D.m.d., Family Dentistry, L.l.c. |
|---|---|
| Speciality | Dentist |
| Location | 501 E Poplar St, Mc Connellsburg, Pennsylvania |
| Authorized Official Name and Position | Jack D Steele (DENTIST/OWNER) |
| Authorized Official Contact | 7174853015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack D. Steele, D.m.d., Family Dentistry, L.l.c. 501 E Poplar St Mc Connellsburg PA 17233-1151 Ph: (717) 485-3015 | Jack D. Steele, D.m.d., Family Dentistry, L.l.c. 501 E Poplar St Mc Connellsburg PA 17233-1151 Ph: (717) 485-3015 |
| NPI Number | 1003436924 |
|---|---|
| Provider Enumeration Date | 04/21/2020 |
| Last Update Date | 06/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003436924 | NPI | - | NPPES |
| 0018617750004 | Medicaid | PA | |
| 0018617750006 | Medicaid | PA | |
| 1037711320001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Fulton County Partnership Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22438 Great Cove Rd, Suite 102, Mc Connellsburg, PA 17233 Phone: 717-485-3079 Fax: 717-485-4505 |