| Organization Name: | TRACEY L. TURNER, DMD, PC |
| NPI Number: | 1184882599 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TRACEY L. TURNER (DENTIST/PRESIDENT) |
| Mailing Address: | 934 Beaver Grade Rd Moon Township |
| State: | PA US |
| Postal Code: | 151082716 |
| Phone Number: | 4122641888 |
| Fax Number: | 4122640869 |
| NPI Enumeration Date: | 06/02/2008 |
| NPI Last Update Date: | 06/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | DS028178L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |