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Contact Information

QUINN L LUNDBERG JR, DMD
409 MAIN STREET
BROCKWAY, PA15824
 Phone: 814-268-6614
 Fax: 814-268-6614
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for QUINN L LUNDBERG JR · (Male)

NPI Number 1205906617
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 11/09/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • PA License # DS027644L
  • PA Other 000675116 UNITED CONCORDIA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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