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Organization
UNIONTOWN DENTAL CARE PC
Active
Organization
UNIONTOWN DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY J SHUTSY DMD (OWNER)
(724) 439-4444
Entity
Organization
Contact information
Practice address
661 W MAIN ST, UNIONTOWN, PA 15401-2646
(724) 439-4444
(724) 439-4449
Mailing address
661 W MAIN ST, UNIONTOWN, PA 15401-2646
(724) 439-4444
(724) 439-4449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030220
UNITED CONCORDIA
PA
05
—
1007529750001
—
PA
Enumeration date
09/03/2009
Last updated
09/03/2009
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