Organization
ELIZABETHTOWN DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD E WHITE JR. DDS (DENTIST CEO)
(717) 367-1336
Entity
Organization
Contact information
Practice address
100 CONTINENTIAL DRIVE, ELIZABETHTOWN, PA 17022
(717) 367-1336
(717) 367-7904
Mailing address
100 CONTINENTIAL DRIVE, ELIZABETHTOWN, PA 17022
(717) 367-1336
(717) 367-7904
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196127
BS
PA
Enumeration date
12/05/2006
Last updated
08/22/2020
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