# LANCASTER GENERAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Residency
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932490398
- **Authorized official:** STACY GRECO (PAYER ENROLLMENT MANAGER)
- **Authorized official phone:** (223) 341-8516

## Contact information

- **Practice address:** 223 N LIME ST, LANCASTER, PA 17602-2748
- **Practice address phone:** (717) 394-3793
- **Practice address fax:** (717) 396-7409
- **Mailing address:** 223 N LIME ST, LANCASTER, PA 17602-2748
- **Mailing address phone:** (717) 394-3793
- **Mailing address fax:** (717) 396-7409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 120801 | PA | — |
| 1223E0200X | Endodontics | 120801 | PA | — |
| 1223G0001X | General Practice Dentistry | 120801 | PA | Yes |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | 120801 | PA | — |
| 1223P0221X | Pediatric Dentistry | 120801 | PA | — |
| 1223P0300X | Periodontics | 120801 | PA | — |
| 1223P0700X | Prosthodontics | 120801 | PA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 120801 | PA | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 120801 | PA | — |

## Other

- **Enumeration date:** 04/20/2011
- **Last updated:** 11/21/2025