Provider Demographics
NPI:1700352291
Name:HEATHER MCVAY PC
Entity Type:Organization
Organization Name:HEATHER MCVAY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCVAY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:724-228-9810
Mailing Address - Street 1:2112 NORTH FRANKLIN DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301
Mailing Address - Country:US
Mailing Address - Phone:724-228-9810
Mailing Address - Fax:724-228-1478
Practice Address - Street 1:2112 NORTH FRANKLIN DR
Practice Address - Street 2:SUITE 3
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301
Practice Address - Country:US
Practice Address - Phone:724-825-7656
Practice Address - Fax:724-228-1478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental