MEDICARE: ASSOCIATED DENTAL BILLING SERVICES, INC

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		PA

General Provider Information

NPI Number	:	1205918885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATED DENTAL BILLING SERVICES, INC

Provider Business Mailing Address
First Line	:	220 S MAIN ST
Second Line	:	SUITE 106
City	:	BUTLER
State	:	PA
Zip	:	16001-5987
Country	:	US
Telephone Number	:	724-431-6421
Fax Number	:	724-431-6432

Provider Business Practice Location Address
First Line	:	220 S MAIN ST
Second Line	:	SUITE 106
City	:	BUTLER
State	:	PA
Zip	:	16001-5987
Country	:	US
Telephone Number	:	724-431-6421
Fax Number	:	724-282-1392

Authorized Official
Title or Position	:	COO
Name	:	MRS. CINDY BLAIR
Credential	:
Telephone Number	:	724-431-6421

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	06/25/2014

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