| Gaunt Family And Cosmetic Dentistry | |
|
107 E Central Ave Avis PA 17721-8904 | |
| (570) 753-5403 | |
| (570) 753-5485 |
| Full Name | Gaunt Family And Cosmetic Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 107 E Central Ave, Avis, Pennsylvania |
| Authorized Official Name and Position | Jay Robert Gaunt (OWNER) |
| Authorized Official Contact | 5707535403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaunt Family And Cosmetic Dentistry 107 E Central Ave Po Box 710 Avis PA 17721-8904 Ph: (570) 753-5403 | Gaunt Family And Cosmetic Dentistry 107 E Central Ave Avis PA 17721-8904 Ph: (570) 753-5403 |
| NPI Number | 1871742494 |
|---|---|
| Provider Enumeration Date | 09/18/2008 |
| Last Update Date | 09/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871742494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS-022420-L (Pennsylvania) | Primary |
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Gaunt Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E Central Ave, Avis, PA 17721 Phone: 570-753-5403 Fax: 570-753-5485 |