| Northeast Dental Surgery Center Pc | |
|
1073 Oak St B Ste Pittston PA 18640-3716 | |
| (570) 237-1838 | |
| Not Available |
| Full Name | Northeast Dental Surgery Center Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1073 Oak St, Pittston, Pennsylvania |
| Authorized Official Name and Position | Shawn M Casey (GENERAL DENTIST) |
| Authorized Official Contact | 5702371838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Dental Surgery Center Pc 1073 Oak St B Ste Pittston PA 18640-3716 Ph: (570) 237-1838 | Northeast Dental Surgery Center Pc 1073 Oak St B Ste Pittston PA 18640-3716 Ph: (570) 237-1838 |
| NPI Number | 1639614837 |
|---|---|
| Provider Enumeration Date | 12/23/2016 |
| Last Update Date | 12/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639614837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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