# BLUE RIDGE DENTAL CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blue Ridge Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922599349
- **Authorized official:** TERESA REA (BOOKKEEPER)
- **Authorized official phone:** (717) 794-5994

## Contact information

- **Practice address:** 14989 BUCHANAN TRL E, BLUE RIDGE SUMMIT, PA 17214-9775
- **Practice address phone:** (717) 794-5994
- **Mailing address:** PO BOX 621, BLUE RIDGE SUMMIT, PA 17214-0621
- **Mailing address phone:** (717) 794-5994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/21/2018
- **Last updated:** 05/21/2018