| Three Rivers Dental Group/jennerstown Llc | |
|
1609 Pitt Street Jennerstown PA 15527 | |
| (814) 629-6621 | |
| (814) 629-6622 |
| Full Name | Three Rivers Dental Group/jennerstown Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1609 Pitt Street, Jennerstown, Pennsylvania |
| Authorized Official Name and Position | Ana Bianca Rudolph (MANAGING MEMBER) |
| Authorized Official Contact | 7249614363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Rivers Dental Group/jennerstown Llc 1609 Pitt Street Jennerstown PA 15527 Ph: (814) 629-6621 | Three Rivers Dental Group/jennerstown Llc 1609 Pitt Street Jennerstown PA 15527 Ph: (814) 629-6621 |
| NPI Number | 1639491046 |
|---|---|
| Provider Enumeration Date | 02/26/2010 |
| Last Update Date | 03/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639491046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |