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Organization
ADVANCED DENTISTRY IMPLANTS DENTURES INC
Active
Organization
ADVANCED DENTISTRY IMPLANTS DENTURES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN BATES (DIRECTOR OF FINANCE)
(716) 622-1592
Entity
Organization
Contact information
Practice address
1499 N SUSQUEHANNA TRL STE 2, SELINSGROVE, PA 17870-7783
(570) 884-4000
(570) 844-8770
Mailing address
1499 N SUSQUEHANNA TRL STE 2, SELINSGROVE, PA 17870-7783
(570) 884-4000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/28/2026
Last updated
09/28/2026
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