National Provider Identifier Database

SUMMIT FAMILY DENTISTRY PLLC
Dental


Contact Information

SUMMIT FAMILY DENTISTRY, PLLC
9271 PEACH STREET
WATERFORD, PA16441
Phone: 814-923-4510
Fax: 814-923-4199
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for SUMMIT FAMILY DENTISTRY, PLLC

NPI Number 1528579695
Legal business name
LBN
SUMMIT FAMILY DENTISTRY, PLLC
Authorized official MELISSA STROSSER - (PRACTICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 10/17/2017
Last updated 10/17/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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