Organization
MICHELLE A. YEARICK, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE ANN YEARICK D.D.S. (PRESIDENT)
(570) 524-7318
Entity
Organization
Contact information
Practice address
217 FARLEY CIR, LEWISBURG, PA 17837-9251
(570) 524-7318
(570) 524-7321
Mailing address
217 FARLEY CIR, LEWISBURG, PA 17837-9251
(570) 524-7318
(570) 524-7321
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS029601L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015736170005
—
PA
Enumeration date
10/31/2014
Last updated
10/31/2014
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