| Sacred Heart Dental Clinic | |
|
421 Chew Street Allentown PA 18102-3490 | |
| (610) 776-4594 | |
| (610) 776-5351 |
| Full Name | Sacred Heart Dental Clinic |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 421 Chew Street, Allentown, Pennsylvania |
| Authorized Official Name and Position | Laurie H Gombert (VP FINANCE) |
| Authorized Official Contact | 6107764713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Heart Dental Clinic 421 Chew Street Allentown PA 18102-3490 Ph: (610) 776-4594 | Sacred Heart Dental Clinic 421 Chew Street Allentown PA 18102-3490 Ph: (610) 776-4594 |
| NPI Number | 1831214998 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831214998 | NPI | - | NPPES |
| 1007275420010 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 195501 (Pennsylvania) | Primary |
| 282N00000X | General Acute Care Hospital | 195501 (Pennsylvania) | Primary |
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