NPI 1235681420

Zelienople Smiles, Family and Implant Dentistry, LLC

Organisation Dental Clinic/Center Zelienople, PA

Practice location

Address: 506 S Main St Suite 2103, Zelienople, PA 16063-1603
Phone: (724) 453-1200
Fax: (724) 452-1585

Authorised official

Name: John David Avolio
Title: Owner
Phone: (724) 422-7761

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence DS037817 (PA)

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Registry record

NPI: 1235681420
Entity type: Organization
NPI issued: 4 Nov 2016
Record last updated: 4 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.