Provider Demographics
NPI:1588240048
Name:ALIGNED DENTAL OF HAMBURG PC
Entity Type:Organization
Organization Name:ALIGNED DENTAL OF HAMBURG PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCTYIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-888-9322
Mailing Address - Street 1:300 W CHESTNUT ST STE 205
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-1987
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:443 STATE ST
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:PA
Practice Address - Zip Code:19526-1203
Practice Address - Country:US
Practice Address - Phone:610-562-7615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DYNAMIC GROWTH DENTAL SUPPORT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-23
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes292200000XLaboratoriesDental Laboratory