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NPI Code Detail

MEDICARE: REIGART-KISTLER DDS, INC.

MEDICARE: REIGART-KISTLER DDS, 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
11223G0001XGeneral Practice DentistryDSO29459LPA
21223G0001XGeneral Practice DentistryDSO21682LPA

General Provider Information

NPI Number : 1902919434
Entity Type Code : Organization
Provider Name (Legal Business Name) : REIGART-KISTLER DDS, INC.
Provider Business Mailing Address
First Line : 26 ROTH CHURCH RD
Second Line : SPRING GROVE PROFESSIONAL CENTER
City : SPRING GROVE
State : PA
Zip : 17362-1406
Country : US
Telephone Number : 717-225-5741
Fax Number : 717-225-3881
Provider Business Practice Location Address
First Line : 26 ROTH CHURCH RD
Second Line : SPRING GROVE PROFESSIONAL CENTER
City : SPRING GROVE
State : PA
Zip : 17362-1406
Country : US
Telephone Number : 717-225-5741
Fax Number : 717-225-3881
Authorized Official
Title or Position : PRESIDENT
Name : DR. BRIAN L REIGART
Credential : D.D.S.
Telephone Number : 717-225-5741
Provider Enumeration Date : 08/17/2006
Last Update Date : 08/22/2020

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Directions to “REIGART-KISTLER DDS, INC. ” Practice Location

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