Organization
DEETS DENTAL LLC
Active
Other names
Paxton Family Dental, Paxton Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT CONOVER (OFFICE MANAGER)
(717) 526-2000
Entity
Organization
Contact information
Practice address
5690 ALLENTOWN BLVD STE 100, HARRISBURG, PA 17112-4046
(171) 752-6200
Mailing address
5690 ALLENTOWN BLVD STE 100, HARRISBURG, PA 17112-4046
(171) 752-6200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255716411
—
NH
05
—
1447401187
—
PA
Enumeration date
10/24/2018
Last updated
10/24/2018
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