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COMPREHENSIVE FAMILY DENTISTRY NPI 1336554765


NPI Information

NPI: 1336554765
Provider Name: COMPREHENSIVE FAMILY DENTISTRY
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
108 VIP DR
SUITE 105
WEXFORD, PA
ZIP 15090
Phone: (724) 935-0700
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COMPREHENSIVE FAMILY DENTISTRY is a customized equipment durable medical equipment medical supplies in Wexford, PA. COMPREHENSIVE FAMILY DENTISTRY NPI is 1336554765. The provider is registered as an organization entity type.

The provider's business location address is:

108 VIP DR
SUITE 105
WEXFORD, PA
ZIP 15090-975
Phone: (724) 935-0700
Fax: (724) 935-2834

The provider's authorized official is Barry Lynn Rotz .
The authorized official title is Dentist/sole Proprietor and has the following contact phone number (724) 935-0700.

The enumeration date for this NPI number is 6/24/2014 and was last updated on 6/24/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentDS025256-LPENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17067960001MEDICARE NSCPENNSYLVANIA

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

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