Johnsonburg Dental Center

NPI #1164514683 in Johnsonburg, Pennsylvania

Provider Information

NPI Number
1164514683
Entity Type
Organization
Organization Name
Johnsonburg Dental Center
Subpart
Yes (part of a larger organization)
Parent Organization
KEYSTONE RURAL HEALTH CONSORTIA INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Sep 29, 2006
Last Updated
Dec 16, 2019

Practice Location

Address
81 CLARION RD
ZIP Code
15845-1656
Phone
(814) 965-5444

Authorized Official

Name
KRISTIE M BENNARDI
Title
CEO
Phone
(814) 486-1115

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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