# BIG SPRING DENTAL CENTER, LLC

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

## Provider details

- **NPI number:** 1912103235
- **Authorized official:** DR. JACK ELLIS SHOWLEY DDS (MEMBER)
- **Authorized official phone:** (717) 776-1228

## Contact information

- **Practice address:** 85 S HIGH ST, NEWVILLE, PA 17241-1405
- **Practice address phone:** (717) 776-1228
- **Practice address fax:** (717) 754-0755
- **Mailing address:** 85 S HIGH ST, NEWVILLE, PA 17241-1405
- **Mailing address phone:** (717) 776-1228
- **Mailing address fax:** (717) 754-0755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS035647 | PA | Yes |

## Other

- **Enumeration date:** 06/24/2007
- **Last updated:** 11/29/2012