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Contact Information

5TH AVENUE DENTAL
1230 S 5TH AVE
LEBANON, PA17042-7814
 Phone: 717-272-9552
 Fax: 717-272-9545
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 5TH AVENUE DENTAL

NPI Number 1194115121
LBN Legal business name 5TH AVENUE DENTAL
Authorized official GREGORY ARNOLD - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/29/2015
Last updated 01/29/2015 - About 11 years ago
Identifiers
PA License # DS019581L
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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