NORTHEAST DENTAL SURGERY CENTER PC (NPI# 1639614837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639614837 |
| Entity Type | Organization |
| Organization Name | NORTHEAST DENTAL SURGERY CENTER PC |
| Practice Address |
1073 Oak St B Ste Pittston PA 18640-3716 |
| Practice Telephone | 5702371838 |
| Mailing Telephone | 5702371838 |
| Enumeration Date | 2016-12-23 |
| Last Update Date | 2016-12-23 |
| Authorized Official Name | MR. SHAWN M CASEY (GENERAL DENTIST) |
| Authorized Official Telephone | 5702371838 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
1073 OAK ST B STE |
| City | PITTSTON |
| State | PA |
| Zip Code | 18640-3716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275685315 | Anthony D Kuprionas | Dentist | 1073 Oak St, Pittston, PA 18640-3716 | 2007-01-17 |
| 1437530631 | Marina Lee Castellino | Dentist | 1073 Oak St, Pittston, PA 18640-3716 | 2015-06-12 |
| 1679968465 | Deep I. Shah | Dentist | 1073 Oak St, Pittston, PA 18640-3716 | 2015-03-30 |
| 1669808259 | Priyanka Srivastava | Dentist | 1073 Oak St, Pittston, PA 18640-3716 | 2013-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225557176 | Terrana Counseling | Counselor | 2 Berkeley Street, Pittston, PA 18640 | 2017-09-12 |
| 1932647898 | Latona Home Health Services LLC | Home Health | 41 South Main St, Pittston, PA 18640 | 2017-02-10 |
| 1104292960 | Geisinger Wyoming Valley Medical Center | Radiology | 42 North Main St, Pittston, PA 18640 | 2015-08-17 |
| 1225412398 | Cara Capozucca | Specialist/Technologist | 450 Broad Street, Pittston Twp., PA 18640 | 2015-07-17 |
| 1548676463 | Dominick Ardo IIi | Pharmacist | 189 Johnson St, Pittston, PA 18640 | 2014-07-11 |
| 1518308691 | Katelyn Hopkins | Speech-Language Pathologist | 69 Market St, Pittston, PA 18640 | 2013-07-17 |
| 1467895300 | Nocerini-warshal P.C. | Dentist | 34 South Main St., Pittston, PA 18640 | 2013-04-10 |
| 1164767851 | Nancy Larralde | Physical Therapist | 209 Roberts Road, United Methodist Home Wesley Village, Pittston, PA 18640 | 2012-12-06 |
| 1285877399 | Brenda Ann Pavill | Nurse Practitioner | 37 Williams St, The Care and Concern Free Clinic, Pittston, PA 18640 | 2009-04-20 |
| 1558532671 | Wyoming Valley Alcohol & Drug Services, Inc | Counselor | 49 South Main St., Pittston, PA 18640 | 2008-03-17 |
| Find all providers in zip 18640 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074037 | Kingsbury Oral and Maxillofacial Surgery, PC | Dentist | 1 Presidential Blvd Ste 207, Bala Cynwyd, PA 19004-1007 | 2020-08-17 |
| 1679183990 | Always Precision Dental PC | Dentist | 1023 King Way, Breinigsville, PA 18031-1482 | 2020-08-02 |
| 1447874490 | Peace Dental Associates | Dentist | 35 S 2nd Ave, Clarion, PA 16214-1934 | 2020-06-05 |
| 1528689270 | New Hope Oral Surgery and Implant Center | Dentist | 6660 Old York Rd, New Hope, PA 18938 | 2020-05-05 |
| 1942831904 | Eagles Oral Surgery | Dentist | 525 W Main St Ste 11, Trappe, PA 19426-1923 | 2020-01-29 |
| 1104466028 | Keystone Oral and Maxillofacial Surgery, P.C. | Dentist | 560 Rugh St Ste 100, Greensburg, PA 15601-5601 | 2020-01-08 |
| 1245889740 | Oral & Facial Surgery of Pittsburgh, P.C. | Dentist | 180 Swinderman Rd Ste 260, Wexford, PA 15090-5620 | 2019-09-06 |
| 1528626124 | Christopher Yi | Dentist | 900 Walnut St Rm 300, Philadelphia, PA 19107-5191 | 2019-05-30 |
| 1275091886 | Gary M Carmassi Dmd | Dentist | 8650 Babcock Blvd Ste 3, Pittsburgh, PA 15237-5009 | 2019-03-04 |
| 1073093233 | Ban Oral and Facial Surgical Associates LLC | Dentist | 4725 Mcknight Rd Ste 209, Pittsburgh, PA 15237-3414 | 2018-08-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.