Provider Demographics
NPI:1497972780
Name:MICHAEL B. FINK AND JOHN P. GRIMES FAMILY AND COSMETIC DENTISTRY PC
Entity Type:Organization
Organization Name:MICHAEL B. FINK AND JOHN P. GRIMES FAMILY AND COSMETIC DENTISTRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:FINK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:717-632-4164
Mailing Address - Street 1:420 WEST ELM AVE
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331
Mailing Address - Country:US
Mailing Address - Phone:717-632-4164
Mailing Address - Fax:717-632-8987
Practice Address - Street 1:420 WEST ELM AVE
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331
Practice Address - Country:US
Practice Address - Phone:717-632-4164
Practice Address - Fax:717-632-8987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty