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Organization
COMMUNITY HEALTH SERVICES
Active
Organization
COMMUNITY HEALTH SERVICES
Active
Parent organization
MEADVILLE MEDICAL CENTER
Other names
Meadville Dental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEADVILLE MEDICAL CENTER
Authorized official
MR. MICHAEL C. DOWNING (CHIEF EXECUTIVE OFFICER)
(814) 373-2449
Entity
Organization
Contact information
Practice address
640 ALDEN ST, MEADVILLE, PA 16335-2348
(814) 373-5200
(814) 373-5205
Mailing address
640 ALDEN ST, MEADVILLE, PA 16335-2348
(814) 373-5200
(814) 373-5205
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
124Q00000X
Dental Hygienist
—
NULL
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
NULL
126800000X
Dental Assistant
—
—
Other
Enumeration date
06/12/2012
Last updated
01/08/2018
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