MEDICARE: SWEET DREAMS GETTYSBURG LLC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1821634577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWEET DREAMS GETTYSBURG LLC

Provider Business Mailing Address
First Line	:	2018 YORK RD
Second Line	:
City	:	GETTYSBURG
State	:	PA
Zip	:	17325-8207
Country	:	US
Telephone Number	:	717-339-0033
Fax Number	:

Provider Business Practice Location Address
First Line	:	2018 YORK RD
Second Line	:
City	:	GETTYSBURG
State	:	PA
Zip	:	17325-8207
Country	:	US
Telephone Number	:	717-339-0033
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RITA A TEMPEL
Credential	:	DDS
Telephone Number	:	717-339-0033

Provider Enumeration Date	:	11/18/2019
Last Update Date	:	11/18/2019

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