Idp Punxsutawney Llc is a Dental Clinic in Punxsutawney, Pennsylvania. It is located at 219 N Main St, Punxsutawney, PA and its contact number is 814-938-2222. The authorized person for Idp Punxsutawney Llc is Mrs. Julie Smith
who is Operations Facilitator of the clinic and their contact number is 231-739-5105. The primary license number for Idp Punxsutawney Llc is DS018913L (General Practice) in Pennsylvania. Idp Punxsutawney Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Idp Punxsutawney Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Idp Punxsutawney Llc
Specialization:
General Practice Dentistry
Clinic Address:
219 N Main St, Punxsutawney, Pennsylvania, 15767-1217
Phone:
814-938-2222
Fax:
814-938-0931
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Julie Smith
Position:
Operations Facilitator
Contact Number:
231-739-5105
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Idp Punxsutawney Llc clinic are as mentioned below.
NPI Number:
1245672419
NPI Enumeration Date:
29 Jul, 2013
NPI Last Update On:
29 Jul, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Idp Punxsutawney Llc are as mentioned below.
Specialization
License Number
State
Status
General Practice
DS018913L
Pennsylvania
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0006936660001
Medicaid
Pennsylvania
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Idp Punxsutawney Llc 219 N Main St, Punxsutawney, Pennsylvania
Zip:
15767-1217
Phone Number:
814-938-2222
Fax Number:
814-938-0931
Patients can reach Idp Punxsutawney Llc at 219 N Main St, Punxsutawney, Pennsylvania or can call to book an appointment on 814-938-2222. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.