National Provider Identifier Database

OPERA HOUSE PARKESBURG DENTAL LLC
Dental


Contact Information

OPERA HOUSE PARKESBURG DENTAL, LLC
358 WEST FIRST AVENUE
PARKESBURG, PA19365
Phone: 610-857-9244
Fax: 610-497-3792
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for OPERA HOUSE PARKESBURG DENTAL, LLC

NPI Number 1841808177
Legal business name
LBN
OPERA HOUSE PARKESBURG DENTAL, LLC
Authorized official JOSEPH DESANTIS - (OWNER/DENTIST)
Entity Organization
Organization subpart No
Enumeration date 07/22/2020
Last updated 07/22/2020 - About 6 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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