# MICHAEL D CERVERIS DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376840207
- **Authorized official:** DR. MICHAEL D CERVERIS DMD (OWNER)
- **Authorized official phone:** (717) 263-0449

## Contact information

- **Practice address:** 1854 WAYNE RD, CHAMBERSBURG, PA 17202-8836
- **Practice address phone:** (717) 263-0449
- **Practice address fax:** (717) 263-6870
- **Mailing address:** 1854 WAYNE RD, CHAMBERSBURG, PA 17202-8836
- **Mailing address phone:** (717) 263-0449
- **Mailing address fax:** (717) 263-6870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D5018698L | PA | Yes |

## Other

- **Enumeration date:** 02/11/2011
- **Last updated:** 02/11/2011