MEDICARE: DR. CHRISTA TAPERT DDS, MS

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
1	1223P0221X	Pediatric Dentistry	DS027928L	PA

General Provider Information

NPI Number	:	1558584896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTA TAPERT DDS, MS

Provider Business Mailing Address
First Line	:	20421 ROUTE 19
Second Line	:	SUITE 320
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-7513
Country	:	US
Telephone Number	:	724-776-1228
Fax Number	:

Provider Business Practice Location Address
First Line	:	20421 ROUTE 19
Second Line	:	SUITE 320
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-7513
Country	:	US
Telephone Number	:	724-776-1228
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	07/08/2007

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