Provider Demographics
NPI:1760684476
Name:CHAMBERSBURG DENTAL ASSOCIATES LTD
Entity Type:Organization
Organization Name:CHAMBERSBURG DENTAL ASSOCIATES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARNHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-264-2011
Mailing Address - Street 1:101 LOUDON RD
Mailing Address - Street 2:
Mailing Address - City:MERCERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17236-1719
Mailing Address - Country:US
Mailing Address - Phone:717-328-2933
Mailing Address - Fax:
Practice Address - Street 1:101 LOUDON RD
Practice Address - Street 2:
Practice Address - City:MERCERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17236-1719
Practice Address - Country:US
Practice Address - Phone:717-328-2933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0525562Medicaid
PA1768456OtherUNITED CONCORDIA