Provider Demographics
NPI:1760535744
Name:CHILDREN'S DENTAL CENTRE OF YORK, INC.
Entity Type:Organization
Organization Name:CHILDREN'S DENTAL CENTRE OF YORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:F
Authorized Official - Last Name:LAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:717-741-0848
Mailing Address - Street 1:2200 S GEORGE ST
Mailing Address - Street 2:PLAZA B
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-4594
Mailing Address - Country:US
Mailing Address - Phone:717-741-0848
Mailing Address - Fax:717-741-9366
Practice Address - Street 1:2200 S GEORGE ST
Practice Address - Street 2:PLAZA B
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4594
Practice Address - Country:US
Practice Address - Phone:717-741-0848
Practice Address - Fax:717-741-9366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty