# PROGRESSIVE DENTAL OF MONTROSE, LLC

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

## Provider details

- **NPI number:** 1447548854
- **Authorized official:** MR. MICHAEL J DEAN (BUSINESS MANAGER)
- **Authorized official phone:** (607) 754-2273

## Contact information

- **Practice address:** 57 PUBLIC AVE, MONTROSE, PA 18801-1219
- **Practice address phone:** (570) 278-1186
- **Practice address fax:** (570) 278-1873
- **Mailing address:** 57 PUBLIC AVE, MONTROSE, PA 18801-1219
- **Mailing address phone:** (570) 278-1186
- **Mailing address fax:** (570) 278-1873

## Taxonomy

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

## Other

- **Enumeration date:** 07/19/2011
- **Last updated:** 07/19/2011