| Kutztown Dental Center P.c. | |
|
404 W Main St Kutztown PA 19530-1608 | |
| (610) 683-7112 | |
| (610) 683-7376 |
| Full Name | Kutztown Dental Center P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 404 W Main St, Kutztown, Pennsylvania |
| Authorized Official Name and Position | William R Epes (PRESIDENT) |
| Authorized Official Contact | 6106837112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kutztown Dental Center P.c. 404 W Main St Kutztown PA 19530-1608 Ph: (610) 683-7112 | Kutztown Dental Center P.c. 404 W Main St Kutztown PA 19530-1608 Ph: (610) 683-7112 |
| NPI Number | 1982825386 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982825386 | NPI | - | NPPES |
| 1154389377 | Other | PA | GENERAL DENTIST |
| 1245332907 | Other | PA | GENERAL DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS020557L (Pennsylvania) | Primary |
| 1223G0001X | Dentist - General Practice | DS024208L (Pennsylvania) | Secondary |
Dr John P. Boyle, Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15295 Kutztown Rd, Kutztown, PA 19530 Phone: 610-683-6955 Fax: 610-683-6954 | |
James C. Blankenhorn Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Trexler Ave, Kutztown, PA 19530 Phone: 610-683-6677 Fax: 610-683-9418 | |
Sparkle Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15295 Kutztown Rd, Kutztown, PA 19530 Phone: 610-685-6955 Fax: 610-685-6955 |