Individual
DR. JEFFREY WADE SHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
528 PARK AVE, ROARING SPRING, PA 16673-1711
(814) 224-2214
Mailing address
528 PARK AVE, ROARING SPRING, PA 16673-1711
(814) 224-2214
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS024087L
PA
Other
Enumeration date
12/23/2005
Last updated
08/13/2007
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