Healthcare Provider Details

I. General information

NPI: 1245121185
Provider Name (Legal Business Name): VISITING DENTAL HYGIENE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3815 SALTSBURG RD
CLARKSBURG PA
15725-7801
US

IV. Provider business mailing address

3815 SALTSBURG RD
CLARKSBURG PA
15725-7801
US

V. Phone/Fax

Practice location:
  • Phone: 724-549-1982
  • Fax:
Mailing address:
  • Phone: 724-549-1982
  • Fax: 724-549-1982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State

VIII. Authorized Official

Name: ALAINA STANGO
Title or Position: OWNER
Credential: PHDHP
Phone: 724-549-1982