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NPI Code Detail

MEDICARE: DR. ALYSSA LYNN FUREY D.D.S.

MEDICARE: DR. ALYSSA LYNN FUREY D.D.S.
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 DentistryDS040573PA
21223G0001XGeneral Practice Dentistry30.026053OH

General Provider Information

NPI Number : 1982089041
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALYSSA LYNN FUREY D.D.S.
Provider Business Mailing Address
First Line : PO BOX 1420
Second Line :
City : HERMITAGE
State : PA
Zip : 16148-0420
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 WAKEFIELD DR
Second Line :
City : CORTLAND
State : OH
Zip : 44410-1504
Country : US
Telephone Number : 330-638-3065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2015
Last Update Date : 09/12/2024

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