# SELINSGROVE DENTAL ARTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134347933
- **Authorized official:** MS. ANN M ENDERS (PRACTICE MANAGER)
- **Authorized official phone:** (570) 374-4655

## Contact information

- **Practice address:** 504 W PENN ST, SELINSGROVE, PA 17870-1644
- **Practice address phone:** (570) 374-4625
- **Practice address fax:** (570) 374-0041
- **Mailing address:** PO BOX 265, SELINSGROVE, PA 17870-0265
- **Mailing address phone:** (570) 374-4625
- **Mailing address fax:** (570) 374-0041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 28131 | PA | Yes |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 08/22/2020