Provider Demographics
NPI:1851909824
Name:EAST MARKET FAMILY DENTAL, PLLC
Entity Type:Organization
Organization Name:EAST MARKET FAMILY DENTAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGHBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:724-459-5640
Mailing Address - Street 1:138 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15717-1326
Mailing Address - Country:US
Mailing Address - Phone:724-459-5640
Mailing Address - Fax:
Practice Address - Street 1:138 E MARKET ST
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15717-1326
Practice Address - Country:US
Practice Address - Phone:724-459-5640
Practice Address - Fax:
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 - Multi-Specialty