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Dental Professionals of Pennsylvania PC

Organization Active NPI General Practice Dentistry · Lancaster, PA

NPI 1013328962 · NPPES record last updated Jun 5, 2017

Key facts

NPI
1013328962
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
DENTAL PROFESSIONALS OF PENNSYLVANIA PC
Practice address
2091 Fruitville Pike
Lancaster, PA 17601
Phone
(717) 208-2581
NPI assigned
May 14, 2014
Organization subpart
Yes
Parent organization (as reported)
DENTAL PROFESSIONALS OF PENNSYLVANIA PC

Authorized official

Name
Kendra Walker
Title
Credentialing Supervisor
Phone
(217) 540-8312

Corporate family (same tax ID) 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

National Provider Directory

Tax ID family
Dental Professionals of Pennsylvania PC (40 organizations share this tax ID)
Part of
Dental Professionals of Pennsylvania PC

Locations

2091 Fruitville Pike
Lancaster, PA 17601
Phone (717) 208-2581

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

2091 Fruitville Pike
Lancaster, PA 17601

Mailing address

2091 Fruitville Pike
Lancaster, PA 17601

Other names

  • Red Rose Family Dental Doing business as

Other providers in Lancaster, PA

All providers in Lancaster, PA · General Practice Dentistry in Pennsylvania

Sources for this page

Verify at the official NPI Registry.