| Nepa Dental Group - Wilkes Barre | |
|
213 E Market St Wilkes Barre PA 18702-5234 | |
| (570) 825-9645 | |
| Not Available |
| Full Name | Nepa Dental Group - Wilkes Barre |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 213 E Market St, Wilkes Barre, Pennsylvania |
| Authorized Official Name and Position | John Costello (VICE PRESIDENT) |
| Authorized Official Contact | 5704011783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nepa Dental Group - Wilkes Barre 457 N Main St Suite 100 Pittston PA 18640-2183 Ph: () - | Nepa Dental Group - Wilkes Barre 213 E Market St Wilkes Barre PA 18702-5234 Ph: (570) 825-9645 |
| NPI Number | 1124477880 |
|---|---|
| Provider Enumeration Date | 06/03/2016 |
| Last Update Date | 06/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124477880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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