Stonebridge Dental LLC

Organization Active NPI General Practice Dentistry · New Freedom, PA

NPI 1801430608 · NPPES record last updated Nov 5, 2019

Key facts

NPI
1801430608
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
STONEBRIDGE DENTAL LLC
Practice address
781 Far Hills Dr Ste 500
New Freedom, PA 17349-8448
Phone
(717) 235-8234
Fax
(717) 235-8266
NPI assigned
Nov 5, 2019
Organization subpart
No

Authorized official

Name
Dr. Paul J Prosser III, DDS
Title
Owner/DDS
Phone
(717) 235-8234

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

781 Far Hills Dr
Ste 500
New Freedom, PA 17349
Phone (717) 235-8234

Specialties & licenses

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

Addresses

Primary practice location

781 Far Hills Dr Ste 500
New Freedom, PA 17349-8448

Mailing address

781 Far Hills Dr Ste 500
New Freedom, PA 17349-8448
Phone (717) 235-8234

Other providers in New Freedom, PA

All providers in New Freedom, PA · General Practice Dentistry in Pennsylvania

Sources for this page

Verify at the official NPI Registry.