Back Mountain Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

BACK MOUNTAIN PEDIATRIC DENTISTRY

Practice address

3784 Yalick PLZ Unit 1
Dallas, PA 18612-7719

Phone

(570) 456-5566

NPI assigned

Oct 30, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jessica Marie Pizano, DMD, MSNPI 1235471822

Title

Owner Pediatric Dentist

Phone

(570) 885-9531

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Marie Pizano, DMD, MS

  • Pediatric Dentistry
  • Dallas, PA
  • NPI 1235471822
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1013789452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 SENECA DR",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "185181598",
            "telephone_number": "570-885-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3784 YALICK PLZ UNIT 1",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186127719",
            "telephone_number": "570-456-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK MOUNTAIN PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-28",
        "status": "A",
        "authorized_official_last_name": "PIZANO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "570-885-9531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Andrejko, AU.D.
• Jessica Lynn Ashford, PHARMD
• Azimuth Occupational Therapy & Wellness
• Back Mountain Music Therapy, the Heyward Rooms LLC
• Back Mountain Orthopedics P.C.
• Back Mountain Pediatrics
• Back Mountain Regional Fire and EMS Inc
• Amy Lynn Balent, M.S., CCC-SLP/L,CBIS
• Eric Garn Barrett, M.D.
• Patricia Marie Bates

• Pediatric Dentistry in Dallas, PA
• Providers in Dallas, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.