Individual provider · NPI-1
Dr. Michael J. Halupa, D.D.S.
Dentist · Danville, PA
NPI number1831168418
StatusActive
Last updated in NPPESAug 21, 2020
Details
- NPI
- 1831168418
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael J. Halupa
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2006
- Certification date
- Aug 21, 2020
- Last updated
- Aug 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DS023166L | PA | Yes |
Practice location
100 N Academy AveDanville, PA 17822-1336
Phone 570-271-6355
Mailing address
100 N Academy AveDanville, PA 17822-4903
Phone 570-271-6144 · Fax 570-271-6578
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