# THE SALVATION ARMY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** The Salvation Army - Dental Center of Johnstown
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659706166
- **Authorized official:** MR. MICHAEL JOHN SOUTHWICK (SECRETARY)
- **Authorized official phone:** (845) 620-7329

## Contact information

- **Practice address:** 647 MAIN STREET, PO BOX 968, JOHNSTOWN, PA 15907-0968
- **Practice address phone:** (814) 539-3110
- **Practice address fax:** (814) 536-4785
- **Mailing address:** 440 W NYACK RD, WEST NYACK, NY 10994-1753
- **Mailing address phone:** (845) 620-7200
- **Mailing address fax:** (845) 620-7615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS025867L | PA | Yes |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |

## Other

- **Enumeration date:** 09/04/2013
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0011051320005 | — | PA |