| Susquehanna Family Dental, Llc | |
|
490 Susquehanna Ave Curwensville PA 16833-1448 | |
| (814) 236-3666 | |
| (814) 236-3666 |
| Full Name | Susquehanna Family Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 490 Susquehanna Ave, Curwensville, Pennsylvania |
| Authorized Official Name and Position | Matthew R Mckissick (OWNER) |
| Authorized Official Contact | 8142363666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susquehanna Family Dental, Llc 490 Susquehanna Ave Curwensville PA 16833-1448 Ph: (814) 236-3666 | Susquehanna Family Dental, Llc 490 Susquehanna Ave Curwensville PA 16833-1448 Ph: (814) 236-3666 |
| NPI Number | 1598005639 |
|---|---|
| Provider Enumeration Date | 02/27/2013 |
| Last Update Date | 02/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598005639 | NPI | - | NPPES |
| 101958885006 | Medicaid | PA | |
| 1982238 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Melanie E. Jordan, Dds, Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 816 State St, Floor One, Curwensville, PA 16833 Phone: 814-236-0539 Fax: 814-236-0443 |