| Jcr Century Dental Dal Llc | |
|
15 Lincoln St Dallas PA 18612-1213 | |
| (570) 675-3646 | |
| (570) 674-3994 |
| Full Name | Jcr Century Dental Dal Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15 Lincoln St, Dallas, Pennsylvania |
| Authorized Official Name and Position | Jason Hanyon (OWNER) |
| Authorized Official Contact | 5708764488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jcr Century Dental Dal Llc 15 Lincoln St Dallas PA 18612-1213 Ph: (570) 675-3646 | Jcr Century Dental Dal Llc 15 Lincoln St Dallas PA 18612-1213 Ph: (570) 675-3646 |
| NPI Number | 1598571853 |
|---|---|
| Provider Enumeration Date | 12/10/2024 |
| Last Update Date | 12/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598571853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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