Mainstreamdental

NPI #1235264680 in Hummelstown, Pennsylvania

Provider Information

NPI Number: 1235264680
Entity Type: Organization
Organization Name: Mainstreamdental
Primary Specialty: Dentist
Enumeration Date: Feb 23, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 20 W MAIN ST
City: Hummelstown
State: Pennsylvania
ZIP Code: 17036-1532
Phone: (717) 566-8161

Authorized Official

Name: DR. JEFFREY D. FORTNA, D.M.D.
Title: PRESIDENT
Phone: (717) 566-8161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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