Provider Demographics
NPI:1821591025
Name:VERBER DENTAL GROUP, PC
Entity Type:Organization
Organization Name:VERBER DENTAL GROUP, PC
Other - Org Name:FOX DENTAL, LTD.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREATMENT COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:ASCHLIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-737-4337
Mailing Address - Street 1:819 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:LEMOYNE
Mailing Address - State:PA
Mailing Address - Zip Code:17043-1588
Mailing Address - Country:US
Mailing Address - Phone:717-761-0341
Mailing Address - Fax:
Practice Address - Street 1:819 MARKET STREET
Practice Address - Street 2:FOX DENTAL
Practice Address - City:LEMOYNE
Practice Address - State:PA
Practice Address - Zip Code:17043
Practice Address - Country:US
Practice Address - Phone:717-761-0341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-14
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PW792170001OtherDMERC REGION A
PA003805309OtherHIGHMARK BLUE SHIELD