Individual
LAJUAN M MOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
415 E BOUNDARY AVE, SUITE 101, YORK, PA 17403-2811
(717) 846-5174
(717) 845-4884
Mailing address
116 S GEORGE ST, SUITE 301, YORK, PA 17401-1408
(717) 846-8546
(717) 854-0377
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS036195
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101296402
—
PA
01
—
169245
UNISON
PA
01
—
1734162
UNITED CONCORDIA
PA
01
—
248134
DENTAL BENEFIT PROVIDERS
PA
01
—
9179591
DORAL DENTAL
PA
01
—
DS036195
DELTA DENTAL
PA
Enumeration date
06/02/2006
Last updated
08/31/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us