| Tri-town Modern Dental | |
|
42 S Main St Muncy PA 17756-1307 | |
| (570) 546-3419 | |
| Not Available |
| Full Name | Tri-town Modern Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 42 S Main St, Muncy, Pennsylvania |
| Authorized Official Name and Position | Ryan Michael Koch (DENTIST) |
| Authorized Official Contact | 5706513559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-town Modern Dental 42 S Main St Muncy PA 17756-1307 Ph: (570) 546-3419 | Tri-town Modern Dental 42 S Main St Muncy PA 17756-1307 Ph: (570) 546-3419 |
| NPI Number | 1649015959 |
|---|---|
| Provider Enumeration Date | 06/27/2024 |
| Last Update Date | 06/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649015959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Bennardi, Barberio, Bennardi, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 S Main St, Muncy, PA 17756 Phone: 570-546-3419 Fax: 570-546-7172 |