NEPA DENTAL GROUP, INC (NPI# 1669082632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669082632 |
| Entity Type | Organization |
| Organization Name | NEPA DENTAL GROUP, INC |
| Practice Address |
920 Wyoming Ave Ste 104 Forty Fort PA 18704-3970 |
| Mailing Address |
457 N Main St Ste 100 Pittston PA 18640-2185 |
| Practice Telephone | 5702832422 |
| Practice Fax Number | 5702831492 |
| Mailing Telephone | 5706557645 |
| Mailing Fax Number | 5702997427 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | JOHN ALBERT COSTELLO (VICE PRESIDENT) |
| Authorized Official Telephone | 5706557645 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| NEPA Dental - West | Doing Business As Name - Organization |
| Street Address |
920 WYOMING AVE STE 104 |
| City | FORTY FORT |
| State | PA |
| Zip Code | 18704-3970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609902618 | John Francis Handley | Dentist | 942 Wyoming Ave, Forty Fort, PA 18704-3968 | 2007-02-26 |
| 1841334869 | Stephen Mark Lawrence | Dentist | 1500 Wyoming Ave, Forty Fort, PA 18704-4219 | 2007-02-16 |
| 1700931813 | Angela C Resavage | Dentist | 1590 Wyoming Ave, Forty Fort, PA 18704-4226 | 2007-01-25 |
| 1568839850 | Carpenter Dental Charles M. Carpenter Charles M. Carpenter Jr. P.C. | Dentist | 1086 Wyoming Ave, Forty Fort, PA 18704-4014 | 2015-08-21 |
| 1922433937 | Forty Fort Dental LLC | Dentist | 1590 Wyoming Ave, Forty Fort, PA 18704-4226 | 2013-09-09 |
| 1881933315 | Angela C. Resavage Dmd, PC | Dentist | 1590 Wyoming Ave, Forty Fort, PA 18704-4226 | 2013-02-04 |
| 1396969044 | Charles Mark Carpenter | Dentist | 1086 Wyoming Ave, Forty Fort, PA 18704-4014 | 2007-04-12 |
| 1164549143 | Ronald R Kresge | Dentist | 1500 Wyoming Ave, Forty Fort, PA 18704-4219 | 2007-03-23 |
| 1386770303 | John James Handley | Dentist | 942 Wyoming Ave, Forty Fort, PA 18704-3968 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760087 | Rg Dental Group of Richboro, LLC | Dentist | 56 Newtown Richboro Rd., Suite 1, Richboro, PA 18954 | 2020-11-02 |
| 1790385581 | Samir Zahedpasha | Dentist | 1933 Delancey Pl, Philadelphia, PA 19103-6611 | 2020-10-29 |
| 1225636087 | Clark Dental Associates, LLC | Dentist | 7 Bala Ave Ste 301, Bala Cynwyd, PA 19004-3205 | 2020-10-14 |
| 1336747450 | Drexel Hill Smiles PC | Dentist | 4605 State Rd, Drexel Hill, PA 19026-4423 | 2020-10-12 |
| 1568074631 | Haley Ciccarelli | Dentist | 3475 W Chester Pike Ste 220, Newtown Square, PA 19073-4291 | 2020-08-20 |
| 1770195000 | Steven Dodson | Dentist | 7573 Woodbury Pike, Roaring Spring, PA 16673-1601 | 2020-08-18 |
| 1376154807 | Katherine Marie Stranieri | Dentist | 127 S Spring Garden St, Ambler, PA 19002-4726 | 2020-08-10 |
| 1407466162 | Christa A Musto | Dentist | 575 Pierce St Ste 201, Kingston, PA 18704-5700 | 2020-08-06 |
| 1184234023 | Bucks County Dental Design, PC | Dentist | 95 Almshouse Rd Ste 201, Richboro, PA 18954-1155 | 2020-08-05 |
| 1053929034 | East Market Family Dental, Pllc | Dentist | 1177 S 6th St Ste E, Indiana, PA 15701-3759 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
| City | FORTY FORT |
| Zip Code | 18704 |
Please comment or provide details below to improve the information on NEPA DENTAL GROUP, INC.
| 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.