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NPI Code Detail

MEDICARE: DRAVOSBURG DENTAL

MEDICARE: DRAVOSBURG DENTAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist

General Provider Information

NPI Number : 1396315172
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRAVOSBURG DENTAL
Provider Business Mailing Address
First Line : 523 RAVINE STREET
Second Line :
City : DRAVOSBURG
State : PA
Zip : 15034-1012
Country : US
Telephone Number : 412-460-0415
Fax Number : 412-460-0416
Provider Business Practice Location Address
First Line : 523 RAVINE STREET
Second Line :
City : DRAVOSBURG
State : PA
Zip : 15034-1012
Country : US
Telephone Number : 412-460-0415
Fax Number : 412-460-0416
Authorized Official
Title or Position : OWNER/DENTIST
Name : DR. STEPHEN G DUNN
Credential : DMD
Telephone Number : 412-461-0453
Provider Enumeration Date : 06/25/2021
Last Update Date : 06/25/2021

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Directions to “DRAVOSBURG DENTAL ” Practice Location

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