| Back Mountain Pediatric Dentistry | |
|
3784 Yalick Plz Unit 1 Dallas PA 18612-7719 | |
| (570) 456-5566 | |
| Not Available |
| Full Name | Back Mountain Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3784 Yalick Plz Unit 1, Dallas, Pennsylvania |
| Authorized Official Name and Position | Jessica Marie Pizano (OWNER PEDIATRIC DENTIST) |
| Authorized Official Contact | 5708859531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Back Mountain Pediatric Dentistry 126 Seneca Dr Old Forge PA 18518-1598 Ph: (570) 885-9531 | Back Mountain Pediatric Dentistry 3784 Yalick Plz Unit 1 Dallas PA 18612-7719 Ph: (570) 456-5566 |
| NPI Number | 1013789452 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013789452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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