Provider Demographics
NPI:1336729573
Name:DENTISTRY BY APRIL DETAR
Entity Type:Organization
Organization Name:DENTISTRY BY APRIL DETAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-234-4444
Mailing Address - Street 1:2182 SANDY DR STE 102
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-2211
Mailing Address - Country:US
Mailing Address - Phone:814-234-4444
Mailing Address - Fax:814-954-5652
Practice Address - Street 1:2182 SANDY DR STE 102
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-2211
Practice Address - Country:US
Practice Address - Phone:814-234-4444
Practice Address - Fax:814-954-5652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-12
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty