Organization Name: | MOUNT JOY DENTAL ASSOCIATES, PC |
NPI Number: | 1568784619 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN D. CAWLEY (DENTIST) |
Mailing Address: | 1210 E Main St Mount Joy |
State: | PA US |
Postal Code: | 175529338 |
Phone Number: | 7179282653 |
Fax Number: | 7179282650 |
NPI Enumeration Date: | 02/17/2010 |
NPI Last Update Date: | 02/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | DS037101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |