Berwick Dental Arts Inc
Organization Active NPI General Practice Dentistry · Berwick, PA
NPI 1104906650 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1104906650
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- BERWICK DENTAL ARTS INC
- Practice address
- 105 W 9TH St
Berwick, PA 18603-3024 - Phone
- (570) 752-4542
- Fax
- (570) 752-6806
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
Authorized official
- Name
- John E Definnis, DDS
- Title
- President
- Phone
- (570) 752-4542
Practitioners 8
-
John E Definnis, DDS
-
Steven G Bishop, DDS
-
Bryan P Carlin, DDS
-
Susan D Ermish, DMD
-
Nathaniel W Flook, DMD
-
Mary Grace Rizzo, DMD
-
Rachel Wynings, DMD
-
Mahima Singh, B.D.S., D.D.S.
National Provider Directory
Locations
105 W 9th St
Berwick, PA 18603
Phone (570) 752-4542
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
105 W 9TH St
Berwick, PA 18603-3024
Mailing address
105 W 9TH St
Berwick, PA 18603-3024
Phone (570) 752-4542
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005214830001 | Medicaid | PA | |
| 187826 | Other | PA | UNITED CONCORDIA |
Other providers in Berwick, PA
- Berwick Area Ambulance Association, Inc.
- Berwick Area School District
- Berwick Clinic Company LLC
- Berwick Community Pharmacy Inc
- Berwick Counseling Services PC
- Berwick Home Care Services LLC
- Berwick Hospital Company LLC
- Berwick Hospital Company LLC
- Berwick Hospital Company LLC
- Berwick Hospital Company LLC
All providers in Berwick, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.