Provider Demographics
NPI:1619322708
Name:HERSHEY DENTAL ASSOCIATES LLC
Entity Type:Organization
Organization Name:HERSHEY DENTAL ASSOCIATES LLC
Other - Org Name:BUEHNER FAMILY DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUEHNER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:717-220-1792
Mailing Address - Street 1:517 SUNBURY ST
Mailing Address - Street 2:
Mailing Address - City:MINERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17954-1015
Mailing Address - Country:US
Mailing Address - Phone:570-544-4446
Mailing Address - Fax:570-544-5224
Practice Address - Street 1:517 SUNBURY ST
Practice Address - Street 2:
Practice Address - City:MINERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17954-1015
Practice Address - Country:US
Practice Address - Phone:570-544-4446
Practice Address - Fax:570-544-5224
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HERSHEY DENTAL ASSOCIATES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-26
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0365961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty