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GREENCASTLE FAMILY DENTAL
NPI 1619643202
Clinic/Center - Dental in Greencastle, PA

Active since August 23, 2021
50 EASTERN AVE STE 108, GREENCASTLE, PA 17225(717) 762-1515 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2021, Aug 23, 2021 (2 updates tracked since 2021).

About Greencastle Family Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREENCASTLE FAMILY DENTAL (NPI 1619643202) is a healthcare organization registered as a dental in Greencastle, Pennsylvania and active in the NPI registry since August 2021. The organization lists Anvarali Mohammadh, Owner, as its authorized official.

NPPES Registry Identity

NPI1619643202
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCOVENANT FAMILY DENTAL LLC
Location Address50 EASTERN AVE STE 108Greencastle, PA 17225-1100
Mailing Address750 S Potomac StWaynesboro, PA 17268-2198 · (717) 762-1515
Phone(717) 762-1515
Organization SubpartNo
Authorized OfficialAnvarali MohammadhOwner · (717) 762-1515
Enumeration DateAugust 23, 2021
Last NPPES UpdateSeptember 27, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2021
✔ NPI 1619643202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
50 EASTERN AVE STE 108, Greencastle, PA 17225
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Other Names 2

Doing Business AsGreencastle Family Dental
Doing Business AsGrencastle Family Dental

Other Identifiers 1

Medicaid1038734820001PA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT BOWERSOX
Dentist
50 EASTERN AVE STE 108
GREENCASTLE, PA 17225
Franklin County (717) 597-7197

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Covenant Family Dental LLC's NPI number?

The NPI number for Covenant Family Dental LLC is 1619643202. It was assigned to this organization in the NPPES registry on August 23, 2021. The provider is doing business as Greencastle Family Dental and Grencastle Family Dental.

Where is Covenant Family Dental LLC located?

Covenant Family Dental LLC is located at 50 Eastern Ave Ste 108, Greencastle, PA 17225. The listed phone number is (717) 762-1515.

What is Covenant Family Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Covenant Family Dental LLC was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.