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NPI Code Detail

MEDICARE: HUNTINGDON DENTAL CARE, LLC

MEDICARE: HUNTINGDON DENTAL CARE, 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
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1932061603
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUNTINGDON DENTAL CARE, LLC
Provider Business Mailing Address
First Line : 826 WASHINGTON ST
Second Line :
City : HUNTINGDON
State : PA
Zip : 16652-1726
Country : US
Telephone Number : 814-643-4746
Fax Number :
Provider Business Practice Location Address
First Line : 826 WASHINGTON ST
Second Line :
City : HUNTINGDON
State : PA
Zip : 16652-1726
Country : US
Telephone Number : 814-643-4746
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MARY WONG
Credential :
Telephone Number : 814-643-4746
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “HUNTINGDON DENTAL CARE, LLC ” Practice Location

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