# CD GLENMAURA LLC

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

## Provider details

- **NPI number:** 1871451161
- **Authorized official:** MRS. SAVANNAH LYNN GIRARD (INSURANCE COORDINATOR)
- **Authorized official phone:** (228) 355-2965

## Contact information

- **Practice address:** 75 GLENMAURA NATIONAL BLVD, MOOSIC, PA 18507-2128
- **Practice address phone:** (570) 654-4141
- **Mailing address:** 75 GLENMAURA NATIONAL BLVD, MOOSIC, PA 18507-2128
- **Mailing address phone:** (570) 955-5046

## Taxonomy

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

## Other

- **Enumeration date:** 01/14/2026
- **Last updated:** 02/04/2026