Individual
AUTUMN GOSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
745 S EAGLE VALLEY RD, BELLEFONTE, PA 16823-4740
(814) 359-7733
(814) 359-7732
Mailing address
745 S EAGLE VALLEY RD, BELLEFONTE, PA 16823-4740
(814) 359-7733
(814) 359-7732
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS045271
PA
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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