Individual
JACK D DEPNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
710 THOMPSON AVENUE, STO ROX FAMILY HEALTH CENTER, MCKEES ROCKS, PA 15136
(412) 771-6462
(412) 771-5887
Mailing address
710 THOMPSON AVENUE, MCKEES ROCKS, PA 15136
(412) 771-6462
(412) 771-5887
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS024335L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009781380002
—
PA
Enumeration date
06/06/2006
Last updated
07/13/2026
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