| Pineo Family Dentistry Llc | |
|
606 Erie St Edinboro PA 16412-6002 | |
| (814) 734-4451 | |
| (814) 734-2863 |
| Full Name | Pineo Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 606 Erie St, Edinboro, Pennsylvania |
| Authorized Official Name and Position | Ross Victor Pineo (OWNER) |
| Authorized Official Contact | 8147344451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pineo Family Dentistry Llc 606 Erie St Edinboro PA 16412-6002 Ph: (814) 734-4451 | Pineo Family Dentistry Llc 606 Erie St Edinboro PA 16412-6002 Ph: (814) 734-4451 |
| NPI Number | 1457360018 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457360018 | NPI | - | NPPES |
| 1384880 | Other | BCBS | |
| 1011637470001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS035169 (Pennsylvania) | Primary |
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