Streamside Dental
Organization Active NPI Dental Clinic/Center · Everett, PA
NPI 1205280310 · NPPES record last updated May 25, 2016
Key facts
- NPI
- 1205280310
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- STREAMSIDE DENTAL
- Practice address
- 109 E Main St
Everett, PA 15537-1259 - Phone
- (814) 934-7161
- NPI assigned
- Apr 15, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Douglas Christopher Kurtz, D.D.S.
- Title
- Owner
- Phone
- (814) 934-7161
National Provider Directory
Locations
109 E Main St
Everett, PA 15537
Phone (814) 652-6050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
109 E Main St
Everett, PA 15537-1259
Mailing address
109 E Main St
Everett, PA 15537-1259
Phone (814) 934-7161
Other providers in Everett, PA
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- Teresa J Steele
- Kara Marie Stefanick
- Jena Rae Stern
- Jessica Suzanne Stone
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- Jeffrey C Territo
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- Flora Macalintal Torres
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All providers in Everett, PA · Dental Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 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.