Individual
JOHN PATRICK POPERNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6416 CARLISLE PIKE STE 500, MECHANICSBURG, PA 17050-2884
(717) 766-2200
(747) 766-1702
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037850
PA
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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