Organization
LANCASTER GENERAL HOSPITAL
Active
Other names
Dental Residency
Organization subpart
No
Provider details
NPI number
Authorized official
STACY GRECO (PAYER ENROLLMENT MANAGER)
(223) 341-8516
Entity
Organization
Contact information
Practice address
223 N LIME ST, LANCASTER, PA 17602-2748
(717) 394-3793
(717) 396-7409
Mailing address
223 N LIME ST, LANCASTER, PA 17602-2748
(717) 394-3793
(717) 396-7409
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
120801
PA
1223E0200X
Endodontics
120801
PA
1223G0001X
General Practice Dentistry
Primary
120801
PA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
120801
PA
1223P0221X
Pediatric Dentistry
120801
PA
1223P0300X
Periodontics
120801
PA
1223P0700X
Prosthodontics
120801
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
120801
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
120801
PA
Other
Enumeration date
04/20/2011
Last updated
11/21/2025
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