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Organization
WESTERN PENNSYLVANIA DENTAL GROUP
Active
Organization
WESTERN PENNSYLVANIA DENTAL GROUP
Active
Parent organization
WESTERN PENNSYLVANIA DENTAL GROUP
Other names
Chestnut Hills Dental Johnstown Richland
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN PENNSYLVANIA DENTAL GROUP
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
241 SCHOOLHOUSE RD, JOHNSTOWN, PA 15904-3219
(814) 266-9535
(814) 266-9305
Mailing address
241 SCHOOLHOUSE RD, JOHNSTOWN, PA 15904-3219
(814) 266-9535
(814) 266-9305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS029923L
PA
Other
Enumeration date
11/20/2006
Last updated
04/18/2022
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