Organization
UPDEGROVE & UPDEGROVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY W UPDEGROVE DDS (OWNER)
(717) 848-2947
Entity
Organization
Contact information
Practice address
439 N WEST ST, YORK, PA 17404
(717) 848-2947
(717) 843-5348
Mailing address
439 N WEST ST, YORK, PA 17404
(717) 848-2947
(717) 843-5348
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS015730L
PA
122300000X
Dentist
DS030039L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01430581
UNITED CONCORDIA
PA
Enumeration date
04/17/2007
Last updated
08/22/2020
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