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COMMUNITY HEALTH CLINIC INC. NPI 1710235551


NPI Information

NPI: 1710235551
Provider Name: COMMUNITY HEALTH CLINIC, INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
947 FOURTH AVENUE
NEW KENSINGTON, PA
ZIP 15068
Phone: (724) 335-2862
Get Directions

COMMUNITY HEALTH CLINIC, INC. is a general practice dentist in New Kensington, PA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. COMMUNITY HEALTH CLINIC, INC. NPI is 1710235551. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

947 FOURTH AVENUE
NEW KENSINGTON, PA
ZIP 15068
Phone: (724) 335-2862
Fax: (724) 335-2283

The provider's authorized official is Raji Dandapani .
The authorized official title is Executive Director and has the following contact phone number (724) 335-3334.

The enumeration date for this NPI number is 8/28/2012 and was last updated on 8/28/2012.


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
11223G0001XDentistGeneral PracticeDS019493LPENNSYLVANIAYes

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
11012676430004MEDICAIDPENNSYLVANIA

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: 11/14/2023

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