Organization · Type 2 NPI

Day Dental Anesthesia

Dental Anesthesiology · Nicktown, PA

NPI number 1174188486 Active

Practice location

2636 Killen School Road
Nicktown, PA 15762

Mailing address

PO Box 181
Nicktown, PA 15762-0181

Specialties and licenses

TaxonomyCodeLicense
Dental Anesthesiology Primary 1223D0004XNone listed

Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

About NPI 1174188486

Day Dental Anesthesia's National Provider Identifier is 1174188486, issued on May 2, 2019. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Nicktown, PA. The record was last updated on May 2, 2019.