PARKESBURG FAMILY DENTAL, LLC; NPI #1396121455

Contact Information

PARKESBURG FAMILY DENTAL, LLC

4749 W. LIONCOLN HWY
WEST SADSBURY SHOPS/OFFICES
PARKESBURG, PA 19365

Phone: 717-442-0739
Fax: 484-712-5232
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for PARKESBURG FAMILY DENTAL, LLC

NPI Number 1396121455

LBN Legal business name PARKESBURG FAMILY DENTAL, LLC

Authorized official THOMAS ZACCARIA - (MBR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/30/2015

Last updated 01/26/2016 - About 10 years ago

Identifiers

License #

DS017468L

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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