# FAMILY DENTISTRY ASSOCIATES OF JOHNSTOWN PC

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

## Provider details

- **NPI number:** 1548320559
- **Authorized official:** DR. WAYNE J PAPPERT DMD (PRESIDENT)
- **Authorized official phone:** (814) 535-7894

## Contact information

- **Practice address:** 223 MAIN STREET, JOHNSTOWN, PA 15901-1553
- **Practice address phone:** (814) 535-7894
- **Practice address fax:** (814) 535-7896
- **Mailing address:** 223 MAIN STREET, JOHNSTOWN, PA 15901-1553
- **Mailing address phone:** (814) 535-7894
- **Mailing address fax:** (814) 535-7896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS16788L | PA | Yes |
| 122300000X | Dentist | DS26517L | PA | — |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0005721600001 | — | PA |
