| Jack D Depner, DMD | |
|
710 Thompson Avenue, Sto Rox Family Health Center, Mckees Rocks, PA 15136 | |
| (412) 771-6462 | |
| (412) 771-5887 |
| Full Name | Jack D Depner |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 710 Thompson Avenue, Mckees Rocks, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316986979 | NPI | - | NPPES |
| 0009781380002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS024335L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack D Depner, DMD 710 Thompson Avenue, Mckees Rocks, PA 15136 Ph: (412) 771-6462 | Jack D Depner, DMD 710 Thompson Avenue, Sto Rox Family Health Center, Mckees Rocks, PA 15136 Ph: (412) 771-6462 |
Dr. Timothy Krall, DMD Dentist Medicare: Medicare Enrolled Practice Location: 710 Thompson Avenue, Sto Rox Family Health Center, Mckees Rocks, PA 15136 Phone: 412-771-6462 Fax: 412-771-5887 | |
Mr. John L Barczynski, DMD Dentist Medicare: Medicare Enrolled Practice Location: 710 Thompson Ave, Sto Rox Family Hlth Ctr, Mckees Rocks, PA 15136 Phone: 412-771-6462 Fax: 412-771-5887 |