# INNOVATIVE DENTAL OF CV CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cumberland Valley Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356106314
- **Authorized official:** KATHLEEN L PEIFFER (OFFICE MANAGER)
- **Authorized official phone:** (717) 263-3123

## Contact information

- **Practice address:** 99 ST PAUL DR, CHAMBERSBURG, PA 17201-1020
- **Practice address phone:** (717) 263-3123
- **Practice address fax:** (717) 264-4346
- **Mailing address:** 99 ST PAUL DR, CHAMBERSBURG, PA 17201-1020
- **Mailing address phone:** (717) 263-3123
- **Mailing address fax:** (717) 264-4346

## Taxonomy

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

## Other

- **Enumeration date:** 02/19/2024
- **Last updated:** 02/19/2024