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Organization
NITTANY DENTAL, INC.
Active
Organization
NITTANY DENTAL, INC.
Active
Other names
Nittany Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEON JEANMENNE DDS (PRESIDENT)
(814) 238-0088
Entity
Organization
Contact information
Practice address
2601 GATEWAY DR, SUITE 250, STATE COLLEGE, PA 16801-3213
(814) 238-0088
Mailing address
2601 GATEWAY DR, SUITE 250, STATE COLLEGE, PA 16801-3213
(814) 238-0088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS035349
PA
1223G0001X
General Practice Dentistry
DS035452
PA
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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