Organization
MEAD AVENUE FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY HAECK DMD (SECRETARY)
(814) 333-1186
Entity
Organization
Contact information
Practice address
11737 STATE HIGHWAY 98, MEADVILLE, PA 16335-7328
(814) 333-1186
(814) 333-1187
Mailing address
11737 STATE HIGHWAY 98, MEADVILLE, PA 16335-7328
(814) 333-1186
(814) 333-1187
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS035112
PA
Other
Enumeration date
08/16/2006
Last updated
01/23/2021
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