Organization · NPI-2

Geisinger Clinic

Dentist · Danville, PA

NPI number1073564522
StatusActive
Last updated in NPPESFeb 28, 2019

Details

NPI
1073564522
Entity type
Organization (NPI-2)
Legal business name
Geisinger Clinic
Organization subpart
No
Enumeration date
May 12, 2006
Last updated
Feb 28, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes
282N00000X General Acute Care Hospital––

Practice location

100 N Academy Ave
Danville, PA 17822

Phone 570-271-6211

Mailing address

100 N Academy Ave
Danville, PA 17822-3034

Authorized official

Cindy Mull
Director
5702716144

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