Organization
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.
Other names
Thorn Run Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.
Authorized official
COURTNEY MONTEITH (CREDENTIALING COORDINATOR)
(217) 540-8306
Entity
Organization
Contact information
Practice address
900 COMMERCE DR STE 901, MOON TOWNSHIP, PA 15108-4746
(412) 269-9466
Mailing address
900 COMMERCE DR STE 901, MOON TOWNSHIP, PA 15108-4746
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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