Organization
BIG SPRING DENTAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK ELLIS SHOWLEY DDS (MEMBER)
(717) 776-1228
Entity
Organization
Contact information
Practice address
85 S HIGH ST, NEWVILLE, PA 17241-1405
(717) 776-1228
(717) 754-0755
Mailing address
85 S HIGH ST, NEWVILLE, PA 17241-1405
(717) 776-1228
(717) 754-0755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS035647
PA
Other
Enumeration date
06/24/2007
Last updated
11/29/2012
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