Quinn L. Lundberg, Jr., DMD
Organization Active NPI General Practice Dentistry · Brockway, PA
NPI 1801472964 · NPPES record last updated Mar 19, 2021
Key facts
- NPI
- 1801472964
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- QUINN L. LUNDBERG, JR., DMD
- Practice address
- 409 Main St
Brockway, PA 15824-1324 - Phone
- (814) 268-6614
- Fax
- (814) 265-0087
- NPI assigned
- Mar 19, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Quinn L Lundberg Jr., DMD
- Title
- Owner
- Phone
- (814) 268-6614
Practitioners 3
-
Quinn L Lundberg Jr., DMD
-
Quade Lundberg, DMD
National Provider Directory
Locations
409 Main St
Brockway, PA 15824
Phone (814) 268-6614
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
409 Main St
Brockway, PA 15824-1324
Mailing address
409 Main St
Brockway, PA 15824-1324
Phone (814) 268-6614
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001248233-0001 | Medicaid | PA |
Other providers in Brockway, PA
- Quinn L Lundberg Jr.
- Luann Mabie
- Ronald Edward Matson
- Jodi Pierson Neal
- Jolene Nicole Pyne
- Danielle Nicole Rhodes
- Edwin Richard Schlemmer
- Jessica M Schuckers
- Suzanne Scott
- Abigail Shaffer
All providers in Brockway, 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 Mar 19, 2021. 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.