| Parkside Dentistry Pc | |
|
420 E Park St Elizabethtown PA 17022-2267 | |
| (717) 367-2423 | |
| (717) 367-9664 |
| Full Name | Parkside Dentistry Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 420 E Park St, Elizabethtown, Pennsylvania |
| Authorized Official Name and Position | Rana Lynn Mathias (OWNER) |
| Authorized Official Contact | 7173672423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkside Dentistry Pc 420 E Park St Elizabethtown PA 17022-2267 Ph: (717) 367-2423 | Parkside Dentistry Pc 420 E Park St Elizabethtown PA 17022-2267 Ph: (717) 367-2423 |
| NPI Number | 1992326367 |
|---|---|
| Provider Enumeration Date | 04/27/2020 |
| Last Update Date | 04/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992326367 | NPI | - | NPPES |
| 0018490460002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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