Organization · Type 2 NPI

Covenant Family Dental LLC

Dental Clinic/Center · Greencastle, PA

NPI number 1619643202 Active

Practice location

50 Eastern Ave Ste 108
Greencastle, PA 17225-1100

Call (717) 762-1515 Map

Mailing address

750 S Potomac St
Waynesboro, PA 17268-2198

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

Another provider at this address

Scott BowersoxDentist Greencastle, PA NPI 1942854591

NPI record

NPI: 1619643202
Entity type: Organization (Type 2)
Issued: Aug 23, 2021
Last updated: Sep 27, 2021
Status: Active

Other names

<unavail>
Greencastle Family Dental · doing business as
Grencastle Family Dental · doing business as

Authorized official

Anvarali Mohammadh, DMD
Owner
(717) 762-1515

Verify this record

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About NPI 1619643202

Covenant Family Dental LLC's National Provider Identifier is 1619643202, issued on Aug 23, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Greencastle, PA. The record was last updated on Sep 27, 2021.