# INNOVATIVEDENTALOFSHIP DAVIS FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1457183014
- **Authorized official:** KATHY PEIFFER (OFFICE MANAGER)
- **Authorized official phone:** (717) 263-3123

## Contact information

- **Practice address:** 420 E ORANGE ST, SHIPPENSBURG, PA 17257-2140
- **Practice address phone:** (717) 532-4513
- **Mailing address:** 420 E ORANGE ST, SHIPPENSBURG, PA 17257-2140
- **Mailing address phone:** (717) 532-4513

## Taxonomy

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

## Other

- **Enumeration date:** 08/14/2024
- **Last updated:** 08/14/2024