Individual ProviderJon Eugene HartDentistDental ProvidersPractice Address138 Broadway, Hanover, PA 17331-2500(717) 632-8571(717) 632-8401PECOS EnrollmentBased on the most recent information from CMS, provider Jon Eugene Hart does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1003012519Provider TypeIndividualFull NameHart, Jon EugeneTitleDr.CredentialD.M.D.GenderMaleSole ProprietorNoEnumeration Date6/22/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address138 Broadway, Hanover, PA 17331-2500Phone(717) 632-8571FaxUnlisted FaxMailing LocationMailing Address30 Woods Ln, Hanover, PA 17331-9234Phone(717) 632-8401FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense17310Pennsylvania