DAVID A EICHENLAUB & GARY R BODMER PARTNERS NPI 1093220105

NPI Information

NPI: 1093220105
Provider Name: DAVID A EICHENLAUB & GARY R BODMER, PARTNERS
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
744 VALLEY ST
LEWISTOWN, PA
ZIP 17044
Phone: (717) 248-4896
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DAVID A EICHENLAUB & GARY R BODMER, PARTNERS is a dental clinic center in Lewistown, PA. DAVID A EICHENLAUB & GARY R BODMER, PARTNERS NPI is 1093220105. The provider is registered as an organization entity type.

The provider's business location address is:

744 VALLEY ST
LEWISTOWN, PA
ZIP 17044-425
Phone: (717) 248-4896

The provider's authorized official is Lavonne Kay Kirkland .
The authorized official title is Office Manager and has the following contact phone number (717) 248-4896.

The enumeration date for this NPI number is 12/12/2017 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	DS021903L	PENNSYLVANIA	No
2	261QD0000X	Clinic/Center	Dental	DS017307L	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1235293341	OTHER	PENNSYLVANIA	GENERAL DENTISTRY
2	1811051923	OTHER	PENNSYLVANIA	GENERAL DENTISTRY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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