Provider Demographics
NPI:1649352907
Name:FLENNIKEN & FLENNIKEN P.C.
Entity type:Organization
Organization Name:FLENNIKEN & FLENNIKEN P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOULDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-249-7777
Mailing Address - Street 1:30 STATE AVE
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-4431
Mailing Address - Country:US
Mailing Address - Phone:717-249-7777
Mailing Address - Fax:
Practice Address - Street 1:30 STATE AVE
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-4431
Practice Address - Country:US
Practice Address - Phone:717-249-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty