Provider Demographics
NPI:1902440795
Name:ALIGNED DENTAL OF CENTRE COUNTY, PC
Entity Type:Organization
Organization Name:ALIGNED DENTAL OF CENTRE COUNTY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:A
Authorized Official - Last Name:BEISSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-372-8406
Mailing Address - Street 1:300 W CHESTNUT ST STE 205
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-1987
Mailing Address - Country:US
Mailing Address - Phone:610-372-8406
Mailing Address - Fax:
Practice Address - Street 1:2014 SANDY DR
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-2515
Practice Address - Country:US
Practice Address - Phone:814-238-2431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-05
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental