Individual provider · NPI-1
Amanda M. Stough, D.M.D.
Dentist · Littlestown, PA
NPI number1891015095
StatusActive
Last updated in NPPESJun 10, 2010
Details
- NPI
- 1891015095
- Entity type
- Individual (NPI-1)
- Name
- Amanda M. Stough
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2010
- Last updated
- Jun 10, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DS036313 | PA | Yes |
Practice location
340 Lumber St Ste CLittlestown, PA 17340-1668
Phone 717-359-8955
Mailing address
4533 E Berlin RdThomasville, PA 17364-9570
Phone 717-259-8805
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