Organization
NEW DIMENSION DENTISTRY
Active
Other names
Western Pennsylvania Dental Sleep Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL CHARLES POLLINA DMD (OWNER)
(814) 269-9731
Entity
Organization
Contact information
Practice address
1253 SCALP AVE, SUITE 105, JOHNSTOWN, PA 15904-3137
(814) 269-9731
(814) 266-5881
Mailing address
1253 SCALP AVE, SUITE 105, JOHNSTOWN, PA 15904-3137
(814) 269-9731
(814) 266-5881
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
DS023871L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01551950
—
PA
Enumeration date
06/11/2014
Last updated
06/11/2014
Update your record
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