Provider Demographics
NPI:1184740557
Name:SEVERNS LLC
Entity type:Organization
Organization Name:SEVERNS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:WALKER
Authorized Official - Last Name:SEVERNS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-942-8300
Mailing Address - Street 1:3155 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3158
Mailing Address - Country:US
Mailing Address - Phone:724-942-8300
Mailing Address - Fax:
Practice Address - Street 1:3155 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:MCMURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-3158
Practice Address - Country:US
Practice Address - Phone:724-942-8300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS 030161-L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty