# BRADFORD COUNTY DENTAL HEALTH SERV INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Not For Profit
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356448864
- **Authorized official:** MS. ROBIN A COYLE ROH (DENTAL HYGIENIST CLINICAL MANAGER)
- **Authorized official phone:** (570) 265-2069

## Contact information

- **Practice address:** 1 PROGRESS PLAZA, SUITE \#6, TOWANDA, PA 18848-1656
- **Practice address phone:** (570) 265-2069
- **Practice address fax:** (570) 265-8718
- **Mailing address:** 1 PROGRESS PLAZA, SUITE \#6, TOWANDA, PA 18848-1656
- **Mailing address phone:** (570) 265-2069
- **Mailing address fax:** (570) 265-8718

## Taxonomy

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

## Other

- **Enumeration date:** 09/19/2006
- **Last updated:** 08/22/2020