| Schuylkill Mall Dental | |
|
Schuylkill Mall Dental Route 61 At Interstate 81 Frackville PA 18219 | |
| (570) 874-3714 | |
| (570) 874-3444 |
| Full Name | Schuylkill Mall Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | Schuylkill Mall Dental, Frackville, Pennsylvania |
| Authorized Official Name and Position | Raymond Edward Hische (OWNER) |
| Authorized Official Contact | 5708743714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Schuylkill Mall Dental Schuylkill Mall Dental Route 61 At Interstate 81 Frackville PA 18219 Ph: (570) 874-3714 | Schuylkill Mall Dental Schuylkill Mall Dental Route 61 At Interstate 81 Frackville PA 18219 Ph: (570) 874-3714 |
| NPI Number | 1396969093 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396969093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS024286L (Pennsylvania) | Primary |
Broad Mountain Family Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 W Pine St, Frackville, PA 17931 Phone: 570-874-3981 Fax: 570-874-3981 | |
Merit Dental Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 W Oak St, Frackville, PA 17931 Phone: 570-874-1954 Fax: 570-874-0433 | |
David D. Paul, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 W Oak St, Frackville, PA 17931 Phone: 570-874-1954 Fax: 570-874-0433 |