Broad Mountain Family Dentistry, P.c.

NPI 1366416828 - Dentist - 1223G0001X

NPI Details
NPI 1366416828
Enumeration Date 02/13/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name FRANK JOSEPH FRANK
Position CORPORATE PRESIDENT/DENTIST
Phone (570) 874-3981
Fax (570) 874-3981
Practice Location
309 W PINE ST
FRACKVILLE PA, 17931-1211, US
Phone (570) 874-3981
Fax (570) 874-3981
Business Location
309 W PINE ST
FRACKVILLE PA, 17931-1211, US
Phone (570) 874-3981
Fax (570) 874-3981
Toxanomy
Taxonomy Code 1223G0001X
License State Pennsylvania
License Number DS-029348-L
Remove 1366416828 NPI Number
 

According to our database, Broad Mountain Family Dentistry, P.c. NPI is 1366416828, taxonomy code is 1223G0001X and license number is DS-029348-L, license state is located at Pennsylvania. Broad Mountain Family Dentistry, P.c. physically located at 309 W Pine St, Frackville PA, 17931-1211. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1366416828 NPI number is provided on an as is basis without warranty of any kind. 1366416828 is maintained by the National Plan & Provider Enumeration System. The contents of Broad Mountain Family Dentistry, P.c. are for informational purposes only.