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Individual

JOSEPH A MOUNTAIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
116 S GEORGE ST, YORK, PA 17401-1408
(717) 845-8617
(717) 718-1317
Mailing address
116 S GEORGE ST, SUITE 301, YORK, PA 17401-1408
(717) 845-8617
(717) 854-0377

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS036194
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101296251
PA
01
169247
UNISON
PA
01
1734164
UNITED CONCORDIA
PA
01
248138
DENTAL BENEFIT PROVIDERS
PA
01
9179593
DORAL DENTAL
PA
01
DS036194
DELTA DENTAL
PA
Enumeration date
06/02/2006
Last updated
08/31/2011
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