Indiana Regional Medical Center
Indiana Regional Medical Center is a Dental Clinic/Center in Indiana, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.
- Licensed in
- PA
- In the registry since
- 2007
Practice location Address checks out
835 Hospital Road Pediatric & Adolescent Dental ClinicIndiana, PA 15701-0788
Phone: (724) 357-6960
Fax: (724) 357-6961
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 090701 (PA) |
|---|
Record details
| NPI number | 1770614919 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Ickowski — Chief Financial Officer · (724) 357-7008 |
| NPI enumerated | March 8, 2007 |
| Last updated in NPPES | July 10, 2024 |
| Certification date | July 10, 2024 |
| Mailing address | 835 Hospital Road, Po Box 788, Indiana, PA 15701-0788 |