# FULTON COUNTY PARTNERSHIP

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

## Provider details

- **NPI number:** 1508887712
- **Authorized official:** MRS. PATRICIA MARIE RHODES DENTAL ASSISTANT (CLINIC COORDINATOR)
- **Authorized official phone:** (717) 485-3079

## Contact information

- **Practice address:** 22438 GREAT COVE RD, SUITE 102, MC CONNELLSBURG, PA 17233-8367
- **Practice address phone:** (717) 485-3079
- **Practice address fax:** (717) 485-4505
- **Mailing address:** 22438 GREAT COVE RD, SUITE 102, MC CONNELLSBURG, PA 17233-8367
- **Mailing address phone:** (717) 485-3079
- **Mailing address fax:** (717) 485-4505

## Taxonomy

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

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0017333900002 | — | PA |