Sullivan County Action,inc.

NPI #1063704500 in Laporte, Pennsylvania

Provider Information

NPI Number: 1063704500
Entity Type: Organization
Organization Name: Sullivan County Action,inc.
Primary Specialty: Dentist
Enumeration Date: May 3, 2011
Last Updated: May 3, 2011

Practice Location

Address: 217 KING STREET
City: Laporte
State: Pennsylvania
ZIP Code: 18626
Phone: (570) 946-5101

Authorized Official

Name: MR. JAMES C ROGERS
Title: PRESIDENT
Phone: (570) 946-4107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Dentist	122300000X	Primary

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