# G. PETER MOYLAN, DMD PC

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

## Provider details

- **NPI number:** 1881604064
- **Authorized official:** DR. G. PETER MOYLAN III DMD (PRESIDENT)
- **Authorized official phone:** (814) 725-1223

## Contact information

- **Practice address:** 35 W MAIN ST, NORTH EAST, PA 16428-1135
- **Practice address phone:** (814) 725-1223
- **Mailing address:** 35 W MAIN ST, NORTH EAST, PA 16428-1135
- **Mailing address phone:** (814) 725-1223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS024915L | PA | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 08/22/2020