Provider Demographics
NPI:1558605535
Name:COSMETIC & NATURAL DENTISTRY, PC
Entity Type:Organization
Organization Name:COSMETIC & NATURAL DENTISTRY, PC
Other - Org Name:COSMETIC & NATURAL DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AUGUST
Authorized Official - Middle Name:
Authorized Official - Last Name:METZ
Authorized Official - Suffix:IV
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-252-1454
Mailing Address - Street 1:2600 NEWBURG RD
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-1936
Mailing Address - Country:US
Mailing Address - Phone:610-252-1454
Mailing Address - Fax:
Practice Address - Street 1:2600 NEWBURG RD
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-1936
Practice Address - Country:US
Practice Address - Phone:610-252-1454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty