# JAMES L REPPERMUND DMD PC

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

## Provider details

- **NPI number:** 1962585364
- **Authorized official:** JAMES L REPPERMUND DMD (PRESIDENT)
- **Authorized official phone:** (724) 898-2377

## Contact information

- **Practice address:** 1376 PITTSBURGH RD, VALENCIA, PA 16059
- **Practice address phone:** (724) 898-2377
- **Practice address fax:** (724) 898-2557
- **Mailing address:** 1376 PITTSBURGH RD, VALENCIA, PA 16059
- **Mailing address phone:** (724) 898-2377
- **Mailing address fax:** (724) 898-2557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 025546L | PA | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | RE486177 | UNITED CONCORDIA | PA |