Provider Demographics
NPI:1407278724
Name:YORK DENTAL SLEEP THERAPY, INC
Entity Type:Organization
Organization Name:YORK DENTAL SLEEP THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:M
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:717-757-4878
Mailing Address - Street 1:450 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:HALLAM
Mailing Address - State:PA
Mailing Address - Zip Code:17406-1024
Mailing Address - Country:US
Mailing Address - Phone:717-757-4878
Mailing Address - Fax:717-840-4710
Practice Address - Street 1:450 W MARKET ST
Practice Address - Street 2:
Practice Address - City:HALLAM
Practice Address - State:PA
Practice Address - Zip Code:17406-1024
Practice Address - Country:US
Practice Address - Phone:717-757-4878
Practice Address - Fax:717-840-4710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026963L261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7121750001Medicare NSC