Jack D Depner, DMD

NPI #1316986979 in Mckees Rocks, Pennsylvania

Provider Information

NPI Number: 1316986979
Entity Type: Individual
Name: Jack D Depner, DMD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 710 THOMPSON AVENUE
Address 2: STO ROX FAMILY HEALTH CENTER
City: Mckees Rocks
State: Pennsylvania
ZIP Code: 15136
Phone: (412) 771-6462

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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