| Nepa Dental Group, Inc | |
|
920 Wyoming Ave Ste 104 Forty Fort PA 18704-3970 | |
| (570) 283-2422 | |
| (570) 283-1492 |
| Full Name | Nepa Dental Group, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 920 Wyoming Ave Ste 104, Forty Fort, Pennsylvania |
| Authorized Official Name and Position | John Albert Costello (VICE PRESIDENT) |
| Authorized Official Contact | 5706557645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nepa Dental Group, Inc 457 N Main St Ste 100 Pittston PA 18640-2185 Ph: (570) 655-7645 | Nepa Dental Group, Inc 920 Wyoming Ave Ste 104 Forty Fort PA 18704-3970 Ph: (570) 283-2422 |
| NPI Number | 1669082632 |
|---|---|
| Provider Enumeration Date | 08/05/2020 |
| Last Update Date | 08/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669082632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Stephen M. Lawrence ,dmd, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-288-5588 Fax: 570-288-4345 | |
Carpenter Dental Charles M. Carpenter Charles M. Carpenter Jr. P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1086 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-331-0909 Fax: 570-714-5184 | |
Angela C. Resavage Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1590 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-288-8170 | |
Forty Fort Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1590 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-288-8170 |