Ashley Church, DMD
Individual provider Active NPI General Practice Dentistry · Corry, PA
NPI 1124476866 · NPPES record last updated Jun 2, 2016
Key facts
- NPI
- 1124476866
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS040839 (PA)
- Practice address
- 983 N Center St
Corry, PA 16407-1228 - Phone
- (814) 664-4011
- Fax
- (814) 664-9376
- NPI assigned
- Jun 2, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS040839 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebecca R. Steves, DMD, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS040839 | PA | Yes |
Addresses
Primary practice location
983 N Center St
Corry, PA 16407-1228
Mailing address
983 N Center St
Corry, PA 16407-1228
Other providers in Corry, PA
- Veronica Brown
- Lindsey Butler
- Jason Richard Carlson
- Chad a Meeker DC LLC
- Andrew Joseph Chase
- Randall B Clapp
- Brooke Marie Clark
- Bryan Colligan
- Matthew Copley
- Lynne L Cornell
All providers in Corry, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.