# TITUSVILLE HOSPITAL DENTAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TITUSVILLE AREA HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174704696
- **Legal business name:** TITUSVILLE AREA HOSPITAL
- **Authorized official:** RICHARD A SMITH (DIRECTOR CLINIC OPERATIONS)
- **Authorized official phone:** (800) 950-1851

## Contact information

- **Practice address:** 406 W OAK ST, TITUSVILLE, PA 16354-1404
- **Practice address phone:** (800) 950-1851
- **Practice address fax:** (814) 827-8419
- **Mailing address:** 406 W OAK ST, TITUSVILLE, PA 16354-1499
- **Mailing address phone:** (800) 950-1851
- **Mailing address fax:** (814) 827-8419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/27/2007
- **Last updated:** 11/27/2007
