Organization
ACTION HEALTH DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLISON DOREEN CLARK (EXECUTIVE DIRECTOR)
(570) 988-0735
Entity
Organization
Contact information
Practice address
335 MARKET STREET, SUNBURY, PA 17801
(570) 988-0778
(570) 286-4788
Mailing address
335 MARKET STREET, SUNBURY, PA 17801
(570) 988-0778
(570) 286-4788
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018698900001
—
PA
Enumeration date
10/06/2006
Last updated
08/22/2020
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