Mifflin-Juniata Dental Clinic, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

D5035955 Issued in PA

Legal business name

MIFFLIN-JUNIATA DENTAL CLINIC, INC.

Practice address

31 S Dorcas St
Compass BLDG. Suite E
Lewistown, PA 17044-2110

Phone

(717) 447-1898

Fax

(717) 447-1891

NPI assigned

Jun 30, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donna J Kinslow, RDH

Title

Executive Director

Phone

(717) 447-1898

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1982601332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 S DORCAS ST",
            "address_2": "COMPASS BLDG. SUITE E",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170442110",
            "telephone_number": "717-447-1898",
            "fax_number": "717-447-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 S DORCAS ST",
            "address_2": "COMPASS BLDG. SUITE E",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170442110",
            "telephone_number": "717-447-1898",
            "fax_number": "717-447-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIFFLIN-JUNIATA DENTAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "KINSLOW",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "717-447-1898",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "D5035955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018401110002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Medical Imaging Associates,PC
• Michael J Hutton OD
• Mifflin County School District
• Mifflin Juniata Aaa, Inc.
• Mifflin Juniata Aaa, Inc.
• Mifflin-Juniata Special Needs Center, Inc.
• Bailey Miller
• Barbara H. Miller, CNM
• Beth A Miller, PTA
• Howard I Miller, MD

• Dentist in Lewistown, PA
• Providers in Lewistown, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.