Organization
NORTH PENN COMPREHENSIVE HEALTH SERVICES
Active
Organization
NORTH PENN COMPREHENSIVE HEALTH SERVICES
Active
Other names
Laurel Dental-Blossburg
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MERYL GILBERT (CFO)
(570) 662-1955
Entity
Organization
Contact information
Practice address
116 SEYMOUR ST, BLOSSBURG, PA 16912-1418
(570) 638-3468
Mailing address
40 W WELLSBORO ST, MANSFIELD, PA 16933-1411
(570) 662-1945
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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