Organization · NPI-2

Geisinger Clinic

Dentist · Danville, PA

NPI number1609804152
StatusActive
Last updated in NPPESMar 31, 2020

Details

NPI
1609804152
Entity type
Organization (NPI-2)
Legal business name
Geisinger Clinic
Organization subpart
No
Enumeration date
Jun 30, 2006
Certification date
Mar 31, 2020
Last updated
Mar 31, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

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 L Mull
System Director Enrollments
5702716603

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