Organization
TITUSVILLE HOSPITAL DENTAL GROUP
Active
Parent organization
TITUSVILLE AREA HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
TITUSVILLE AREA HOSPITAL
Authorized official
RICHARD A SMITH (DIRECTOR CLINIC OPERATIONS)
(800) 950-1851
Entity
Organization
Contact information
Practice address
406 W OAK ST, TITUSVILLE, PA 16354-1404
(800) 950-1851
(814) 827-8419
Mailing address
406 W OAK ST, TITUSVILLE, PA 16354-1499
(800) 950-1851
(814) 827-8419
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007460650026
—
PA
Enumeration date
11/27/2007
Last updated
11/27/2007
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