Organization
REBECCA R. STEVES, DMD, PC
Active
Other names
Healthy Smiles of Corry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUTUMN M BRUNST (BUSINESS COORDINATOR)
(814) 664-4011
Entity
Organization
Contact information
Practice address
983 N CENTER ST, CORRY, PA 16407-1228
(814) 664-4011
(814) 664-9376
Mailing address
983 N CENTER ST, CORRY, PA 16407-1228
(814) 664-4011
(814) 664-9376
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DSO19110L
PA
122300000X
Dentist
Primary
DSO38747
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015262710001
MEDICAL ASSISTANCE
PA
Enumeration date
01/22/2008
Last updated
12/31/2014
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