# JOSEPH A MOUNTAIN JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1164469458
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS036194 | PA | Yes |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 08/31/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 101296251 | — | PA |
| 01 | — | 169247 | UNISON | PA |
| 01 | — | 1734164 | UNITED CONCORDIA | PA |
| 01 | — | 248138 | DENTAL BENEFIT PROVIDERS | PA |
| 01 | — | 9179593 | DORAL DENTAL | PA |
| 01 | — | DS036194 | DELTA DENTAL | PA |