Individual
DR. PAUL TIMOTHY SMATLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 CLEARFIELD AVE, PUNXSUTAWNEY, PA 15767-2303
(814) 938-8554
(814) 938-8559
Mailing address
203 CLEARFIELD AVE, PUNXSUTAWNEY, PA 15767-2303
(814) 938-8554
(814) 938-8559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS020705L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010829130001
—
PA
01
—
251676034
TAX IDENTIFICATION NUMBER
PA
Enumeration date
10/05/2006
Last updated
01/15/2013
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