# WELLSPAN MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WellSpan Dental - Hoodner
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225775919
- **Authorized official:** LAURA FRANK (CREDENTIALING MANAGER)
- **Authorized official phone:** (717) 851-6832

## Contact information

- **Practice address:** 2003 SPRINGWOOD RD, YORK, PA 17403-4836
- **Practice address phone:** (717) 851-2655
- **Practice address fax:** (717) 715-1356
- **Mailing address:** 3421 CONCORD RD, YORK, PA 17402-9001
- **Mailing address phone:** (717) 851-1405
- **Mailing address fax:** (717) 851-6969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |

## Other

- **Enumeration date:** 05/16/2022
- **Last updated:** 05/16/2022