# PARKESBURG FAMILY DENTAL, LLC

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

## Provider details

- **NPI number:** 1396121455
- **Authorized official:** DR. THOMAS M ZACCARIA DDS (MBR)
- **Authorized official phone:** (610) 322-0564

## Contact information

- **Practice address:** 4749 W. LIONCOLN HWY, WEST SADSBURY SHOPS/OFFICES, PARKESBURG, PA 19365
- **Practice address phone:** (717) 442-0739
- **Practice address fax:** (484) 712-5232
- **Mailing address:** 4749 W. LINCOLN HWY, WEST SADSBURY SHOPS/OFFICES, PARKESBURG, PA 19365
- **Mailing address phone:** (717) 442-0739
- **Mailing address fax:** (484) 712-5232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS017468L | PA | Yes |

## Other

- **Enumeration date:** 07/30/2015
- **Last updated:** 01/26/2016
