Provider Demographics
NPI:1770191678
Name:ANGSTADT & ASSOCIATES DMD
Entity Type:Organization
Organization Name:ANGSTADT & ASSOCIATES DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:RALPH
Authorized Official - Last Name:ANGSTADT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:717-394-1067
Mailing Address - Street 1:1670 LINCOLN HIGHWAY EAST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602
Mailing Address - Country:US
Mailing Address - Phone:717-394-1067
Mailing Address - Fax:717-394-5441
Practice Address - Street 1:1670 LINCOLN HIGHWAY EAST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602
Practice Address - Country:US
Practice Address - Phone:717-394-1067
Practice Address - Fax:717-394-5441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty