Family Dental Practice P.C. Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS019268L Issued in PA

Legal business name

FAMILY DENTAL PRACTICE P.C. INC.

Practice address

213 E Market St
Wilkes Barre, PA 18702-5234

Phone

(570) 825-9645

Fax

(570) 822-6477

NPI assigned

Apr 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William E. Walthour, D.D.S.NPI 1295133841

Title

President/Dentist

Phone

(570) 825-9645

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• William Walthour, D.D.S.

  • General Practice Dentistry
  • Wilkes Barre, PA
  • NPI 1295133841
  NPD (past) Authorized official

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1144284415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E MARKET ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187025234",
            "telephone_number": "570-825-9645",
            "fax_number": "570-822-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E MARKET ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187025234",
            "telephone_number": "570-825-9645",
            "fax_number": "570-822-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL PRACTICE P.C. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "WALTHOUR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "570-825-9645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS019268L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "42310",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005261110001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Fallon, SLP
• Federica Falomo, NP
• Julieann Falteich, LCSW
• Alesha Falzone, PHARM.D.
• John William Falzone
• Family Service Association of Northeastern Pennsylvania
• Jessica Fanelli, MD
• Alexa Fangio
• Barbara Lynn Farley
• Farook K Shroff MD

• General Practice Dentistry in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.