Charles G Shea Dmd Pc

LBN: Charles G Shea Dmd Pc
Charles G Shea Dmd Pc is an health care organization with primary practice located at 225 Vine St , Johnstown PA 15901. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Charles G Shea Dmd Pc can be contacted via phone (814) 535-7888, or through Shea, Charles G via phone (814) 535-7888.

Contact Information

Primary practice address
225 Vine St Johnstown PA 15901
Phone: (814) 535-7888
Fax: (814) 539-8858
Website:
Map and Directions
Authorized official contact:
Name: Shea, Charles G Doctor of Dental Medicine (DMD)
Phone: (814) 535-7888

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS-018700-L Pennsylvania

Profile Details

NPI number 1912049115
LBN Legal business name Charles G Shea Dmd Pc
DBA Doing business as
Authorized official Shea, Charles G Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Sep 19th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912049115 NPPES
Pennsylvania MEDICAID 0015391880001
Pennsylvania Other 160535

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