| Santarsiero Family Dental Llc | |
|
119 Main St Blakely PA 18447-1291 | |
| (570) 382-3627 | |
| (570) 382-8116 |
| Full Name | Santarsiero Family Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 119 Main St, Blakely, Pennsylvania |
| Authorized Official Name and Position | Nicholas M Santarsiero (OWNER) |
| Authorized Official Contact | 5703823627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santarsiero Family Dental Llc 119 Main St Blakely PA 18447-1291 Ph: (570) 382-3627 | Santarsiero Family Dental Llc 119 Main St Blakely PA 18447-1291 Ph: (570) 382-3627 |
| NPI Number | 1760807580 |
|---|---|
| Provider Enumeration Date | 03/03/2014 |
| Last Update Date | 05/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760807580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS037183 (Pennsylvania) | Primary |