Provider Demographics
NPI:1992880843
Name:BATH AREA DENTAL ASSOCIATES PC
Entity type:Organization
Organization Name:BATH AREA DENTAL ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:FABEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-837-7656
Mailing Address - Street 1:303 ALLEN STREET
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:PA
Mailing Address - Zip Code:18014-1521
Mailing Address - Country:US
Mailing Address - Phone:610-837-7656
Mailing Address - Fax:610-837-6989
Practice Address - Street 1:303 ALLEN STREET
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:PA
Practice Address - Zip Code:18014-1521
Practice Address - Country:US
Practice Address - Phone:610-837-7656
Practice Address - Fax:610-837-6989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty