Student Health Impact Project

NPI #1972089993 in Pipersville, Pennsylvania

Provider Information

NPI Number: 1972089993
Entity Type: Organization
Organization Name: Student Health Impact Project
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 12, 2018
Last Updated: Jul 12, 2018

Practice Location

Address: 6097 EASTON RD
City: Pipersville
State: Pennsylvania
ZIP Code: 18947-1810
Phone: (866) 916-6447

Authorized Official

Name: JODIE LYNN BICKLEY
Title: CREDENTIALIST
Phone: (866) 916-6447

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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